Individual
NICOLE LESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
626 CORDOVA ST STE 105, ANCHORAGE, AK 99501-3783
(907) 277-5525
Mailing address
716 W 21ST AVE, ANCHORAGE, AK 99503-1850
(907) 748-4169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
116500
AK
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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