Individual
DOMINIQUE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1638 OHIO ST, VALLEJO, CA 94590-4752
(707) 712-3382
Mailing address
1638 OHIO ST, VALLEJO, CA 94590-4752
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43248
CA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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