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Individual

MRS. SAMANTHA JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
10 ROBERTS LN, RIDGEFIELD, CT 06877-4071
(914) 572-5137
Mailing address
175 SHORE DR, BREWSTER, NY 10509-2922
(914) 572-5137

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000313
CT

Other

Enumeration date
02/27/2007
Last updated
07/08/2007
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