Most Relevant Information
Provider Data
| NPI Number: | 1003248840 |
| Provider Name: | JENNIFER ANN LIBBY LAC. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 004855 |
Most Important Dates
| Enumeration Date: | 08/03/2013 |
| Last Updated: | 11/02/2018 |
Provider Practice Location
31 BATES ST APT 1
PORTLAND
ME
041035301
Practice Location Phone/Fax
| Phone: | 2078372055 |
| Fax: |
Provider Mailing Location
31 BATES ST APT 1
PORTLAND
ME
041035301
Provider Mailing Phone/Fax
| Phone: | 2078372055 |
| Fax: |