Individual
SANDRA ERVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12723 ROUTE 19 S, WATERFORD, PA 16441-9027
(814) 796-0077
(814) 796-1717
Mailing address
PO BOX 77, WATERFORD, PA 16441-0077
(814) 796-0077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG008908
PA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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