Individual
VANESSA ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 N 79TH AVE STE 110, GLENDALE, AZ 85308-8724
(623) 336-2985
Mailing address
6812 W COOLIDGE ST, PHOENIX, AZ 85033-1910
(623) 336-2985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT18356
AZ
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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