Individual
MR. BRAD LEE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
1343 W 38TH ST, ERIE, PA 16508-2461
(814) 866-3919
(814) 866-3919
Mailing address
1343 W 38TH ST, ERIE, PA 16508-2461
(814) 866-3919
(814) 866-3919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000762
PA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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