Stephane Provencher LLC

NPI #1801300348 in Gainesville, Virginia

Provider Information

NPI Number
1801300348
Entity Type
Organization
Organization Name
Stephane Provencher LLC
Primary Specialty
Chiropractor
Enumeration Date
Nov 20, 2017
Last Updated
Jun 11, 2019

Practice Location

Address
8006 CRESCENT PARK DR
ZIP Code
20155-3444
Phone
(571) 248-0695

Authorized Official

Name
DR. STEPHANE PROVENCHER, DC
Title
OWNER
Phone
(571) 248-0695

Specialties & Taxonomy Codes

Specialty
Chiropractor

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