Individual
JESSICA LANGELIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4519
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2656
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN2374459
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STUDENT
STUDENT
—
Enumeration date
07/09/2021
Last updated
10/16/2023
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