NPI | 1225415250 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY ANN SKLODOWSKI Licenced Massage Therapist 814-932-9669 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA MSG003985) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2015-04-28 |