Individual
DR. JENNIE LOIS HERSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
949 BRIGHTON AVE, PORTLAND, ME 04102-1060
(207) 780-1070
(207) 780-1007
Mailing address
949 BRIGHTON AVE, PORTLAND, ME 04102-1060
(207) 780-1070
(207) 780-1007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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