Provencher, Maria

Provencher, Maria is an sole proprietor health care provider with primary practice located at 5638 Lake Murray Blvd Ste 332 , La Mesa CA 91942-1929. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Nursing Service Related Providers / Doula. Nursing Service Related Providers / Doula is her primary health care specialty. Provencher, Maria can be contacted via phone (619) 481-8691.

Contact Information

Primary practice address
5638 Lake Murray Blvd Ste 332 La Mesa CA 91942-1929
Phone: (619) 481-8691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1871098509
LBN Legal business name Provencher, Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2018
Last updated Mar 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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