Individual
MRS. VICTORIA VALERI DOLIDZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.T.
Contact information
Practice address
359 SAN MIGUEL DR, SUITE 303, NEWPORT BEACH, CA 92660
(909) 952-0593
Mailing address
423 SAN LEON, IRVINE, CA 92606
(909) 952-0593
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27790
CA
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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