Individual
JENNIE H STANCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
97 NEWBURY ST, #2, PORTLAND, ME 04101-4218
(207) 775-2004
(207) 221-2505
Mailing address
97 NEWBURY ST, #2, PORTLAND, ME 04101-4218
(207) 775-2004
(207) 221-2505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2478
ME
Other
Enumeration date
07/01/2008
Last updated
12/08/2011
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