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NPI Code Detail

MEDICARE: ANEGLICA ALONDRA ALCALA MASSAGE THERAPY

MEDICARE: ANEGLICA ALONDRA ALCALA MASSAGE THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1202D00000XIntegrative Medicine PhysicianMT-26259AZ

General Provider Information

NPI Number : 1699598136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANEGLICA ALONDRA ALCALA MASSAGE THERAPY
Provider Business Mailing Address
First Line : 3301 E 2ND ST UNIT 107
Second Line :
City : TUCSON
State : AZ
Zip : 85716-4200
Country : US
Telephone Number : 520-604-1696
Fax Number :
Provider Business Practice Location Address
First Line : 630 N 4TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85705-8449
Country : US
Telephone Number : 520-907-4333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2024
Last Update Date : 11/04/2024

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Directions to “ ANEGLICA ALONDRA ALCALA MASSAGE THERAPY” Practice Location

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