Dominguez, Patricia Gwen
Dominguez, Patricia Gwen is an sole proprietor health care provider with primary practice located at 310 Harris Ave Ste A , Sacramento CA 95838-3249. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dominguez, Patricia Gwen can be contacted via phone (916) 649-6793.Contact Information
Primary practice address
310 Harris Ave Ste A
Sacramento CA 95838-3249
Phone: (916) 649-6793
Fax: (916) 929-7411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | R1423320321 | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | R1423320321 | California |
Profile Details
| NPI number | 1043886054 |
|---|---|
| LBN Legal business name | Dominguez, Patricia Gwen |
| Credentials | RADT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2021 |
| Last updated | Jun 3rd, 2021 - about 3 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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