| Jennifer Daigle | |
|
97 India St Portland ME 04101-4248 | |
| (207) 347-7132 | |
| (207) 347-3527 |
| Full Name | Jennifer Daigle |
|---|---|
| Speciality | Clinic/center |
| Location | 97 India St, Portland, Maine |
| Authorized Official Name and Position | Jennifer Daigle (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 2073477132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Daigle 97 India St Portland ME 04101-4248 Ph: (207) 347-7132 | Jennifer Daigle 97 India St Portland ME 04101-4248 Ph: (207) 347-7132 |
| NPI Number | 1245467513 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 06/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245467513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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