| NPI | 1578960340 |
|---|---|
| Doing Business As | GAINESVILLE HOLISTIC HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHANE PROVENCHER Owner 571-248-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556839) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104559149) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2014-11-22 |