Individual
MARY-MARGARET ROSEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
144 HAWK HILL RD, EXETER, ME 04435-3009
(207) 379-2066
Mailing address
144 HAWK HILL RD, EXETER, ME 04435-3009
(207) 379-2066
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12
STATE LICENSE NUMBER
ME
Enumeration date
06/13/2012
Last updated
06/13/2012
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