Individual
JESSICA LEFOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 FOREST AVE, PORTLAND, ME 04101-1510
(207) 761-9454
Mailing address
33 REYNERS BROOK DR, DOVER, NH 03820-5902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5960
ME
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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