Individual
DESTINY DIANNE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5000 E MARKET ST STE 30, WARREN, OH 44484-2259
(330) 856-9699
Mailing address
5000 E MARKET ST STE 30, WARREN, OH 44484-2259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34.015658
OH
390200000X
Student in an Organized Health Care Education/Training Program
58.030797
OH
Other
Enumeration date
03/25/2019
Last updated
06/21/2022
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