Jacklyn Jenae Dominowhite
Jacklyn Jenae Dominowhite is a Rehabilitation Practitioner in Palo Alto, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
652 Forest AvePalo Alto, CA 94301-2622
Phone: (650) 323-1401
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1770474991 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 15, 2025 |
| Last updated in NPPES | July 15, 2025 |
| Certification date | July 14, 2025 |
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