Dominguez, Mariah Lupe

Dominguez, Mariah Lupe is an individual health care provider with primary practice located at 355 Tuolumne Street, Ste 1400 , Vallejo CA 94590. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Dominguez, Mariah Lupe can be contacted via phone (707) 553-2085.

Contact Information

Primary practice address
355 Tuolumne Street, Ste 1400 Vallejo CA 94590
Phone: (707) 553-2085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1407131964
LBN Legal business name Dominguez, Mariah Lupe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2011
Last updated Oct 17th, 2011 - about 13 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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