Yadira S Domenicucci
Yadira S Domenicucci is a Student in an Organized Health Care Education/Training Program in Van Nuys, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
14515 Hamlin StVan Nuys, CA 91411-1686
Phone: (818) 989-7475
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1932931698 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 20, 2024 |
| Last updated in NPPES | August 20, 2024 |
| Certification date | August 20, 2024 |
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