Individual
MR. VICTOR LIKHOBABIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2180 E 4500 S, SUITE 235, HOLLADAY, UT 84117-4434
(801) 274-0462
Mailing address
2180 E 4500 S, SUITE 235, HOLLADAY, UT 84117-4434
(801) 274-0462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
68153624701
UT
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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