Individual
MR. ALBERT JOE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBHM
Contact information
Practice address
1837 HOME TERRACE DR., POMONA, CA 91768-1285
(909) 524-2863
(909) 629-0058
Mailing address
1837 HOME TER, POMONA, CA 91768-1285
(909) 524-2863
(909) 629-0058
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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