Individual
LYNAE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9533 OLD 22, BETHEL, PA 19507-9419
(484) 269-0215
Mailing address
6 PINEWOOD AVE, EPHRATA, PA 17522-9616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG003410
PA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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