Individual
JACIE LEBOEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 9TH AVE S, BIRMINGHAM, AL 35233-1124
(205) 934-5149
Mailing address
1716 9TH AVE S, BIRMINGHAM, AL 35233-1124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/07/2025
Last updated
06/12/2025
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