Individual
JACOB LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 HEMPHILL PL, MALTA, NY 12020-4485
(518) 282-5242
Mailing address
189 2ND ST, TROY, NY 12180-4437
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007447-01
NY
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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