Individual
JENNIFER POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 LIGHT STREET, BALTIMORE, MD 21230
(443) 600-4329
Mailing address
2804 GEORGETOWN RD, BALTIMORE, MD 21230-1128
(443) 600-4329
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02328
MD
225700000X
Massage Therapist
M04027
MD
Other
Enumeration date
10/04/2016
Last updated
10/30/2024
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