Smoot, Domeiqua D

Smoot, Domeiqua D is an individual health care provider with primary practice located at 9500 Haven Ave 100, Rancho Cucamonga CA 91730-5807. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Smoot, Domeiqua D can be contacted via phone (909) 980-6700.

Contact Information

Primary practice address
9500 Haven Ave 100 Rancho Cucamonga CA 91730-5807
Phone: (909) 980-6700
Fax: (909) 980-6003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1003147398
LBN Legal business name Smoot, Domeiqua D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2010
Last updated Jul 26th, 2013 - about 12 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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