Individual provider · Type 1 NPI
Denielle Domonique Dwonch, LMT
Massage Therapist · Vallejo, CA
NPI number
1285401893
Active
Practice location
511 Porter Street
Vallejo, CA 94590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 75345 (CA) |
Massage Therapist: 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.
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About NPI 1285401893
Denielle Domonique Dwonch, LMT's National Provider Identifier is 1285401893, issued on Dec 5, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vallejo, CA. The record was last updated on Dec 5, 2023.