Organization
SERENITY WITHIN,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE MARIE DOBERENZ (LICENSED MASSAGE THERAPISTS)
(215) 945-2013
Entity
Organization
Contact information
Practice address
85 BALD CYPRESS LN, LEVITTOWN, PA 19054-2801
(215) 945-2013
Mailing address
85 BALD CYPRESS LN, LEVITTOWN, PA 19054-2801
(215) 945-2013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG005282
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPISTS
PA
Enumeration date
12/09/2014
Last updated
12/09/2014
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