Individual
WANDA BREIGHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
360 SILVER MAPLE CT, MOUNT WOLF, PA 17347-8907
(717) 757-1957
Mailing address
360 SILVER MAPLE CT, MOUNT WOLF, PA 17347-8907
(717) 757-1957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG0000694
PA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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