Individual
MS. LUZVIMINDA A HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13103 BANNING ST, VICTORVILLE, CA 92392-0503
(760) 514-2733
Mailing address
13103 BANNING ST, VICTORVILLE, CA 92392-0503
(760) 514-2733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
36224
CA
225700000X
Massage Therapist
Primary
BSLH-001325-2021
CA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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