Individual
MS. JEAN VESTA KNEEBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC LIC AC
Contact information
Practice address
11 NORTH PARKE STREET, ABERDEEN, MD 21001
(877) 272-5553
Mailing address
11508 SHERWOOD RD, UPPER FALLS, MD 21156
(410) 592-2154
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U0506
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BG94
BLUE CROSS AND BLUE SHIEL
MD
Enumeration date
01/08/2007
Last updated
07/08/2007
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