Individual
ANTOLINA MARIE AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 E DIMOND BLVD STE 2, ANCHORAGE, AK 99515-2031
(907) 677-6345
Mailing address
7730 ASCOT ST, ANCHORAGE, AK 99502-4619
(907) 312-4247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
112211
AK
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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