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NPI Profile for VICTORIA V DOLIDZE in NEWPORT BEACH, CA.
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X |
| NPI # | 1780030205 |
|
| Status | Active | |
| Credentials | C.P.T. | |
| Entity | Individual | |
| Enumeration date | 05/13/2016 | |
| Last updated | 05/13/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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VICTORIA V DOLIDZE
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VICTORIA V DOLIDZE, C.P.T.