Viktor Vladimir Bocharnikov CMT

NPI 1700021565 - Massage Therapist - 225700000X

NPI Details
NPI 1700021565
Gender Male
Enumeration Date 12/09/2008
Last Updated 12/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
50 S PICKETT ST STE 204
ALEXANDRIA VA, 22304-7206, US
Phone (703) 461-8142
Fax
Business Location
50 S PICKETT ST STE 204
ALEXANDRIA VA, 22304-7206, US
Phone (705) 461-8142
Fax
Toxanomy
Taxonomy Code 225700000X
License State Virginia
License Number 0019000221
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According to our database, Mr. Viktor Vladimir Bocharnikov CMT NPI is 1700021565, taxonomy code is 225700000X and license number is 0019000221, license state is located at Virginia. Viktor Vladimir Bocharnikov CMT physically located at 50 S Pickett St Ste 204, Alexandria VA, 22304-7206. NPI Number Viktor Vladimir Bocharnikov CMT has the Individual type.

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1700021565 NPI number is provided on an as is basis without warranty of any kind. 1700021565 is maintained by the National Plan & Provider Enumeration System. The contents of Viktor Vladimir Bocharnikov CMT are for informational purposes only.