Individual
MRS. LETICIA ALCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCBTMB
Contact information
Practice address
5455 HWY 95, FORT MOHAVE, AZ 86426
(928) 234-2087
(928) 763-6003
Mailing address
5455 HWY 95, FORT MOHAVE, AZ 86426-9227
(928) 234-2087
(928) 763-6003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-11064
AZ
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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