Individual
VIKTOR FEDOTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
5535 HEMLOCK ST, SACRAMENTO, CA 95841-2709
(916) 596-0682
Mailing address
5535 HEMLOCK ST, SACRAMENTO, CA 95841-2709
(916) 596-0682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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