Individual
MR. STEVEN ELBERT CLERICO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
661 BLUE MOUNTAIN DR, CHERRYVILLE, PA 18035-9711
(610) 222-6089
Mailing address
6266 HILLSIDE RD, GERMANSVILLE, PA 18053-2035
(570) 687-7503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012512
PA
Other
Enumeration date
09/03/2018
Last updated
08/31/2020
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