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Individual

MRS. CANDICE MARIE DOMKE-HOCHBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT,NCBTMB

Contact information

Practice address
220 LAKESHORE LN, BLOOMINGDALE, IL 60108-1951
(630) 235-3170
Mailing address
220 LAKESHORE LN, BLOOMINGDALE, IL 60108-1951
(630) 235-3170

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.004955
IL

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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