Catherine Provencal

NPI #1902357007 in Mill Valley, California

Provider Information

NPI Number: 1902357007
Entity Type: Individual
Name: Catherine Provencal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Enumeration Date: Oct 24, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 15 BAYVIEW TER
City: Mill Valley
State: California
ZIP Code: 94941-2496
Phone: (415) 717-3471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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