Individual
JOHN ANTHONY CHARLEBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
218 WASHINGTON AVE, PORTLAND, ME 04101-2632
(207) 773-7778
(207) 773-5773
Mailing address
218 WASHINGTON AVE, PORTLAND, ME 04101-2632
(207) 773-7778
(207) 773-5773
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 200
ME
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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