Jared Domaguing
Jared Domaguing is a Nurse Practitioner in Walnut Creek, California. Qualified in 2023, 3 years ago. Licensed in California.
- Years since qualifying
- 3
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
450 N Wiget LnWalnut Creek, CA 94598-2408
Phone: (510) 690-7357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 95027588 (CA) |
|---|
Record details
| NPI number | 1609657741 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 12, 2023 |
| Last updated in NPPES | October 12, 2023 |
| Certification date | October 12, 2023 |
| Mailing address | 57 Ben Lomond, Hercules, CA 94547-3940 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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Angela Michelle Danko, NP
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Mr. Adam Fuller, NP
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