Individual
ALEXANDER LACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1385 SHAW AVE STE 102, CLOVIS, CA 93612-3949
(718) 551-2564
Mailing address
1385 SHAW AVE STE 102, CLOVIS, CA 93612-3949
(718) 551-2564
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96676
CA
225700000X
Massage Therapist
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Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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