Individual
MS. AMY JANE CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
120 W PEARL AVE, JACKSON, WY 83001-8657
(307) 699-7480
Mailing address
PO BOX 13832, JACKSON, WY 83002-3832
(307) 200-9746
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005403-1
NY
171100000X
Acupuncturist
Primary
027
WY
Other
Enumeration date
09/16/2014
Last updated
05/20/2019
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