Individual
ERCA LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 W MAIN ST., SUIT 1, MOUNT JOY, PA 17552
(717) 367-6224
(717) 823-6382
Mailing address
1013 W MAIN ST., SUIT 1, MOUNT JOY, PA 17552
(717) 367-6224
(717) 823-6382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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