Individual
ALEXANDRA NICOLE CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8112 112TH STREET CT E, PUYALLUP, WA 98373-7815
(253) 970-8256
Mailing address
8112 112TH STREET CT E, PUYALLUP, WA 98373-7815
(253) 970-8256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60733471
WA
Other
Enumeration date
05/10/2017
Last updated
02/05/2020
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