Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | HD1001 | |
N | 225700000X | Massage Therapist | M00938 | MD |
N | 225700000X | Massage Therapist | MT103 | DC |
NPI | 1447562673 |
---|---|
Provider Name | Dr. Victoria K Goldsten |
First Address | Washington, DC 20008-4500 |
Second Address | Washington, DC 20008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 01/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
HD1001 | HOLISTIC SERVICES AGENCY (01) | |
HE301 | HOLISTIC SERVICE AGENCY (01) | |
LP12543 | BOARD OF NURSING (01) | MD |
LPN8515 | BOARD OF NURSING (01) | DC |
M00938 | BOARD OF MASSASGE (01) | MD |
MT103 | BOARD OF MASSAGE (01) | DC |