Individual
MONIQUE JARDEL JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6004 BUIST AVE FL 2, PHILADELPHIA, PA 19142-3503
(267) 602-9789
Mailing address
6004 BUIST AVE FL 2, PHILADELPHIA, PA 19142-3503
(267) 602-9789
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
PA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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