Individual
MR. COLIN VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1825 E CARIBOU LOOP, WASILLA, AK 99654-1824
(907) 315-4215
Mailing address
1825 E CARIBOU LOOP, WASILLA, AK 99654-1824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23069
AK
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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