Individual
MISS JENNAH LEIGH DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
260 MERRIMAC ST, TOWLE BLDG-COLONIAL WING, NEWBURYPORT, MA 01950-2192
(978) 499-9355
(978) 499-7808
Mailing address
260 MERRIMAC ST, TOWLE BLDG-COLONIAL WING, NEWBURYPORT, MA 01950-2192
(978) 499-9355
(978) 499-7808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3070MA
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3070
LICENSE #
MA
Enumeration date
08/01/2006
Last updated
05/02/2013
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