Individual
LUIS RICO AGUDELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2606 SPENARD RD, ANCHORAGE, AK 99503-2309
(907) 279-7669
Mailing address
7686 BOUNDARY AVE, ANCHORAGE, AK 99504-1268
(407) 454-4766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
175970
AK
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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