Individual
MR. ADRIAN ANGELO BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2510 N RISING STAR TRL, TUCSON, AZ 85745-1060
(602) 481-1001
Mailing address
2510 N RISING STAR TRL, TUCSON, AZ 85745-1060
(602) 481-1001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-08176
AZ
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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