Individual
DR. JENNIFER LYNN GAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
24 STILLWATER AVE, OLD TOWN, ME 04468-1418
(207) 827-1625
(207) 827-4621
Mailing address
24 STILLWATER AVE, OLD TOWN, ME 04468-1418
(207) 827-1625
(207) 827-4621
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1080
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154250000
—
ME
Enumeration date
01/14/2007
Last updated
05/09/2008
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