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Organization
CRICKET HEALTH MEDICAL PRACTICE PC
Active
Organization
CRICKET HEALTH MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DOMINGUEZ MD (PRESIDENT)
(833) 644-8244
Entity
Organization
Contact information
Practice address
548 MARKET STREET, STE 39516, SAN FRANCISCO, CA 94104-4534
(833) 644-8244
Mailing address
548 MARKET STREET, PMB 39516, SAN FRANCISCO, CA 94104-4534
(833) 644-8244
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/17/2020
Last updated
01/27/2025
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