Individual
NICOLE MARIE ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S ALASKA ST STE 104C, PALMER, AK 99645-6371
(907) 746-3270
Mailing address
PO BOX 3169, PALMER, AK 99645-3169
(907) 351-4849
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
210321
AK
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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