Individual
JENNIFER GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000264
OH
171W00000X
Contractor
33.013396
OH
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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