Organization
ALESSANDRO MUKNICKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESSANDRO ALPHA MUKNICKA LMT,CPT (OWNER)
(352) 246-8429
Entity
Organization
Contact information
Practice address
4408 NW 36TH AVE, GAINESVILLE, FL 32606-7215
(352) 246-8429
Mailing address
4408 NW 36TH AVE, GAINESVILLE, FL 32606-7215
(352) 246-8429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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