Individual
ALEXANDRA ROSE OLGUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
3911 OUTLOOK BLVD STE B, PUEBLO, CO 81008-1624
(719) 369-5129
Mailing address
85 SCOTLAND RD APT D5, PUEBLO, CO 81001-4624
(719) 369-5129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0022299
CO
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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