Stephane Provencher, D.C.
NPI #1376729376 in Gainesville, Virginia
Provider Information
- NPI Number
- 1376729376
- Entity Type
- Individual
- Name
- Stephane Provencher, D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Jan 21, 2008
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 8006 CRESCENT PARK DR
- City
- Gainesville
- State
- Virginia
- ZIP Code
- 20155
- Phone
- (571) 248-0695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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