Provider Demographics
NPI:1720235062
Name:SPRAGUE, QUINCI D (LIC AC)
Entity type:Individual
Prefix:
First Name:QUINCI
Middle Name:D
Last Name:SPRAGUE
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GENTLE TOUCH ACUPUNCTURE
Mailing Address - Street 2:160 EAST MAIN STREET - #1D
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581
Mailing Address - Country:US
Mailing Address - Phone:508-366-0024
Mailing Address - Fax:
Practice Address - Street 1:GENTLE TOUCH ACUPUNCTURE
Practice Address - Street 2:160 EAST MAIN STREET - #1D
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581
Practice Address - Country:US
Practice Address - Phone:508-366-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA544171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist