Mariah Lupe Dominguez
Mariah Lupe Dominguez is a Student in an Organized Health Care Education/Training Program in Vallejo, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
355 Tuolumne St Ste 1400Vallejo, CA 94590
Phone: (707) 553-2085
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1407131964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 17, 2011 |
| Last updated in NPPES | October 17, 2011 |
| Mailing address | 355 Tuolumne Street, Ste 1400, Vallejo, CA 94590 |
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