Domino, June M
Domino, June M is an sole proprietor health care provider with primary practice located at 6121 N Thesta St Ste 305 , Fresno CA 93710-8603. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist is her primary health care specialty. Domino, June M can be contacted via phone (323) 538-1727.Contact Information
Primary practice address
6121 N Thesta St Ste 305
Fresno CA 93710-8603
Phone: (323) 538-1727
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSB33138 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X |
Profile Details
NPI number | 1760659247 |
---|---|
LBN Legal business name | Domino, June M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 13th, 2008 |
Last updated | Jul 13th, 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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