Individual
AXLI AHLOMA MALSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1625 E PRATER WAY STE 103, SPARKS, NV 89434-8963
(702) 809-2222
Mailing address
5889 WISHBONE CT, SUN VALLEY, NV 89433-6540
(775) 313-4157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7525
NV
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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