Individual
LALITA TUPUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4119 LAUREL ST, ANCHORAGE, AK 99508-5334
(907) 248-2848
Mailing address
303 E 15TH AVE, APT 411, ANCHORAGE, AK 99501-5234
(907) 310-0117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MP1027
AK
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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