Provider Demographics
NPI:1699598136
Name:ALCALA, ANEGLICA ALONDRA (MASSAGE THERAPY)
Entity type:Individual
Prefix:
First Name:ANEGLICA
Middle Name:ALONDRA
Last Name:ALCALA
Suffix:
Gender:F
Credentials:MASSAGE THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 E 2ND ST UNIT 107
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-4200
Mailing Address - Country:US
Mailing Address - Phone:520-604-1696
Mailing Address - Fax:
Practice Address - Street 1:630 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-8449
Practice Address - Country:US
Practice Address - Phone:520-907-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-26259202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine