Provider Demographics
NPI:1114996543
Name:SOLEILLE, JEANNE (L AC)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:SOLEILLE
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 EAST AVE
Mailing Address - Street 2:APT. 8
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-1651
Mailing Address - Country:US
Mailing Address - Phone:585-461-1603
Mailing Address - Fax:585-461-1603
Practice Address - Street 1:693 EAST AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2152
Practice Address - Country:US
Practice Address - Phone:585-461-1603
Practice Address - Fax:585-461-1603
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0000565171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist