Individual
MR. DOMINIQUE LOPEZ ESTRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8401 MAYLAND DR STE P, RICHMOND, VA 23294-4648
(804) 290-4330
Mailing address
8401 MAYLAND DR STE P, RICHMOND, VA 23294-4648
(804) 290-4330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018598
VA
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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