Individual
MARIAH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N ABINGTON RD, CLARKS GREEN, PA 18411-2300
(570) 586-5010
Mailing address
102 N ABINGTON RD, CLARKS GREEN, PA 18411-2300
(570) 586-5010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG004630
PA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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