Individual
MR. JASON EPHRAIM FLESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., MSTOM
Contact information
Practice address
55 FODEN RD, SOUTH PORTLAND, ME 04106-1717
(207) 879-0442
Mailing address
7 SALLY LN, NEW GLOUCESTER, ME 04260-3662
(207) 650-3485
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC255
ME
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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