NPI 1104430826

Dominique Stewart, MASSAGETHERAPIST

Practitioner Massage Therapist Vallejo, CA

Practice location

Address: 1638 Ohio St, Vallejo, CA 94590-4752
Phone: (707) 712-3382

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 43248 (CA)

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Registry record

NPI: 1104430826
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2020
Record last updated: 31 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.