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:
Health care specialties
Specialty | Code | License # | 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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