Individual
ALEXANDRIA KATHLEEN GUASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
88 LAPREE ST, TALENT, OR 97540-6000
(541) 535-5082
Mailing address
PO BOX 960, TALENT, OR 97540-0960
(541) 535-5082
(541) 535-3026
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC208832
OR
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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