Individual
MS. JENIFER DEWALD LEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3501 MONTLIMAR PLAZA DR, MOBILE, AL 36609
(251) 445-2295
Mailing address
1961 W 4TH ST, WILLIAMSPORT, PA 17701-5664
(570) 322-1776
(570) 322-1774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007206L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017404480002
—
PA
Enumeration date
10/26/2005
Last updated
08/02/2018
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