Individual
DOMINIQUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24230 BARTON RD STE A, LOMA LINDA, CA 92354-3232
(909) 712-7994
Mailing address
24230 BARTON RD STE A, LOMA LINDA, CA 92354-3232
(909) 712-7994
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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