MARIA PROVENCHER

LA MESA, CA
NPI1871098509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374J00000X Doula
Additional Taxonomies174N00000X Lactation Consultant, Non-RN
Enumeration Date2018-03-26
Last Update Date2018-03-26
Business Address
MARIA PROVENCHER
5638 LAKE MURRAY BLVD STE 332
LA MESA, CA 91942-1929
Phone number: 619-481-8691
Mailing Address
MARIA PROVENCHER
5638 LAKE MURRAY BLVD STE 332
LA MESA, CA 91942-1929
Phone number: 619-481-8691