ELYSE PROVENCHER, L.AC., M.AC.

Acupuncturist

Active Individual
NPI: 1568673192

Practice Address

2009 TIDEWATER COLONY WAY
SUITE B2
Annapolis, MD 21401

Phone: (410) 573-1938

Specialties

Specialty Code Primary License
Acupuncturist 171100000X Yes U01477 (MD)

Frequently Asked Questions

NPI 1568673192 is the National Provider Identifier for ELYSE PROVENCHER, L.AC., M.AC., a Acupuncturist provider located in Annapolis, MD. This NPI was enumerated on May 25, 2007.
ELYSE PROVENCHER, L.AC., M.AC. practices at 2009 TIDEWATER COLONY WAY, SUITE B2, Annapolis, MD 21401.

Quick Facts

NPI
1568673192
Type
Individual
Enumerated
May 25, 2007
Last Updated
Jul 8, 2007

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