Gretchen Marie Thevenau, AP

NPI #1548714082 in Live Oak, Florida

Provider Information

NPI Number: 1548714082
Entity Type: Individual
Name: Gretchen Marie Thevenau, AP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: AP
Enumeration Date: Aug 13, 2016
Last Updated: Oct 2, 2018

Practice Location

Address: 116 CONNER ST NE
City: Live Oak
State: Florida
ZIP Code: 32064-2470
Phone: (386) 361-8462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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