Individual
KIMBERLY SHARAI DOMINGUEZ-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 WALNUT AVE, SANTA CRUZ, CA 95060-3900
(831) 423-9444
Mailing address
109 PARKHURST CIR UNIT D, APTOS, CA 95003-9968
(831) 498-7338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
03/19/2026
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