Individual
JENNIFER SPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2600 FAIRVIEW RD, SUITE 100, RALEIGH, NC 27608-1384
(919) 260-7023
Mailing address
406 GLASCOCK ST, RALEIGH, NC 27604-2043
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
527
NC
Other
Enumeration date
05/11/2009
Last updated
12/04/2009
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