Individual
CATHERINE PROVENCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 BAYVIEW TER, MILL VALLEY, CA 94941-2496
(415) 717-3471
Mailing address
15 BAYVIEW TER, MILL VALLEY, CA 94941-2496
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 17247
CA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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