Individual
MR. VIKTOR VLADIMIR BOCHARNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
50 S PICKETT ST STE 204, ALEXANDRIA, VA 22304-7206
(703) 461-8142
Mailing address
50 S PICKETT ST STE 204, ALEXANDRIA, VA 22304-7206
(705) 461-8142
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019000221
VA
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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