STEPHANE PROVENCHER LLC

GAINESVILLE, VA
NPI1578960340
Doing Business AsGAINESVILLE HOLISTIC HEALTH CENTER
Entity TypeOrganization
Authorized ContactSTEPHANE PROVENCHER
Owner
571-248-0695
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: VA  0104556839)
Additional Taxonomies111N00000X Chiropractor
(Licence: VA  0104559149)
Enumeration Date2014-11-22
Last Update Date2014-11-22
Business Address
STEPHANE PROVENCHER LLC
8006 CRESCENT PARK DR
GAINESVILLE, VA 20155-3444
Phone number: 571-248-0695
Mailing Address
STEPHANE PROVENCHER LLC
8006 CRESCENT PARK DR
GAINESVILLE, VA 20155-3444
Phone number: 571-248-0695