Individual
JESSICA ANN GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
364 SOUND DR, MOUNT DESERT, ME 04660-6612
(207) 276-3031
Mailing address
364 SOUND DR, MOUNT DESERT, ME 04660-6612
(207) 276-3031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT157
ME
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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