ELYSE PROVENCHER LLC

ANNAPOLIS, MD
NPI1356607428
Entity TypeOrganization
Authorized ContactELYSE PROVENCHER
President
410-573-1938
Organization Subpart ?No
Primary Taxonomy171100000X Acupuncturist
Enumeration Date2012-04-03
Last Update Date2012-04-03
Business Address
ELYSE PROVENCHER LLC
2009 TIDEWATER COLONY DR SUITE B2
ANNAPOLIS, MD 21401-2107
Phone number: 410-573-1938
Mailing Address
ELYSE PROVENCHER LLC
2009 TIDEWATER COLONY DR SUITE B2
ANNAPOLIS, MD 21401-2107
Phone number: 410-573-1938
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