Domingo, Jessica

Domingo, Jessica is an individual health care provider with primary practice located at 5674 Stoneridge Dr Suite 108, Pleasanton CA 94588-8500. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Domingo, Jessica can be contacted via phone (925) 520-0066.

Contact Information

Primary practice address
5674 Stoneridge Dr Suite 108 Pleasanton CA 94588-8500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1669607677
LBN Legal business name Domingo, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated May 19th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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