Dominique Stewart, MASSAGE THERAPIST

NPI #1104430826 in Vallejo, California

Provider Information

NPI Number: 1104430826
Entity Type: Individual
Name: Dominique Stewart, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Aug 31, 2020
Last Updated: Aug 31, 2020

Practice Location

Address: 1638 OHIO ST
City: Vallejo
State: California
ZIP Code: 94590-4752
Phone: (707) 712-3382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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