ELYSE PROVENCHER

ANNAPOLIS, MD
NPI1568673192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: MD  U01477)
Enumeration Date2007-05-25
Last Update Date2007-07-08
Business Address
-- ELYSE PROVENCHER L.Ac., M.Ac.
2009 TIDEWATER COLONY WAY SUITE B2
ANNAPOLIS, MD 21401-2127
Phone number: 410-573-1938
Mailing Address
-- ELYSE PROVENCHER L.Ac., M.Ac.
68 HARBOUR HEIGHTS DR
ANNAPOLIS, MD 21401-2141
Phone number: 410-573-1938
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