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Mariah Lupe Dominguez
Student in an Organized Health Care Education/Training Program in Vallejo, California
NPI 1407131964

Mariah Lupe Dominguez is a Student in an Organized Health Care Education/Training Program based in Vallejo, CA. Mariah Lupe Dominguez practices in Vallejo, CA. The NPI Number for Mariah Lupe Dominguez is 1407131964 and holds a License No. (California).

The current practice location address for Mariah Lupe Dominguez is 355 Tuolumne Street, Ste 1400, Vallejo, CA and can be reached out via phone at 707-553-2085.

Location: 355 Tuolumne Street, Ste 1400, Vallejo, CA, 94590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407131964
Provider Name
Mariah Lupe Dominguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
355 Tuolumne Street, Ste 1400, Vallejo, CA, 94590
Phone Number
707-553-2085
Fax Number
Provider Enumeration Date
10/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
355 Tuolumne Street, Ste 1400
City
Vallejo
State
California
Zip
94590
Phone Number
707-553-2085
Fax Number
person
Provider Business Mailing Address Details
Address
355 Tuolumne Street, Ste 1400
City
Vallejo
State
California
Zip
94590
Phone Number
707-553-2085
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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