Individual
MRS. AUD ELAINE YEARICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
108 WOODWARD AVE, LOCK HAVEN, PA 17745-1625
(570) 748-4505
Mailing address
108 WOODWARD AVE, LOCK HAVEN, PA 17745-1625
(570) 748-4505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG004415
PA
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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