Individual
JAMES WALTER TRUNCALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
601 E PICCADILLY DR, FLAGSTAFF, AZ 86001-5964
(928) 300-9597
Mailing address
3220 W BRENDA LOOP, FLAGSTAFF, AZ 86001-0908
(928) 300-9597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-06788
AZ
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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