Individual
JAMES ALLEN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
339 E BEAU ST, WASHINGTON, PA 15301-3639
(724) 255-6610
Mailing address
339 E BEAU ST, WASHINGTON, PA 15301-3639
(724) 255-6610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG007371
PA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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