Individual
MRS. MONIQUE SUZETTE JAMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5818 PEBBLE CREEK DR, JEFFERSON CITY, MO 65101-8325
(573) 821-5497
Mailing address
5818 PEBBLE CREEK DR, JEFFERSON CITY, MO 65101-8325
(573) 821-5497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000167302
MO
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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