Individual
MRS. MARY KATHRYN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W 4TH ST, LOCK HAVEN, PA 17745-2417
(570) 748-3468
Mailing address
410 W 4TH ST, LOCK HAVEN, PA 17745-2417
(570) 748-3468
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000506
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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