Individual
ALEJANDRO AGUAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T, MMP
Contact information
Practice address
1762 E OSAGE ORANGE AVE APT D, HOLLADAY, UT 84124-3558
(385) 207-8319
Mailing address
1762 E OSAGE ORANGE AVE APT D, HOLLADAY, UT 84124-3558
(385) 207-8319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9353615-4701
UT
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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