Individual
VICTORIA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3670 GOLD RIDGE TRL, POLLOCK PINES, CA 95726-9734
(530) 391-9095
Mailing address
3670 GOLD RIDGE TRL, POLLOCK PINES, CA 95726-9734
(530) 391-9095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102220
CA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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