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Individual

MRS. IOULIA KOROBKOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
833 AZURE ST, SUNNYVALE, CA 94087-1410
(408) 505-3674
Mailing address
833 AZURE ST, SUNNYVALE, CA 94087-1410
(408) 505-3674

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
32930
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32930
CMT
CA
Enumeration date
01/26/2015
Last updated
01/26/2015
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