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Maria Provencher
NPI 1871098509 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5638 Lake Murray Blvd Ste 332
La Mesa, CA 91942 - Phone
- (619) 481-8691
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 174N00000X
- Sex
- Female
- Record last updated
- 2018-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California