Individual
TOMAS MOQUETE LLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5701 LAKE OTIS PKWY STE 100, ANCHORAGE, AK 99507-1778
(907) 277-3422
Mailing address
510 IZEMBEK CIR, ANCHORAGE, AK 99508-2575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
124838
AK
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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