Individual
MS. RENEE THIBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
157 PARK ST STE 22, BANGOR, ME 04401-5094
(207) 941-8010
Mailing address
151 CHAPMAN RD, NEWBURGH, ME 04444-5149
(207) 922-8128
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC419
ME
Other
Enumeration date
05/17/2009
Last updated
02/10/2014
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