Individual
JASMINE DOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N AURORA ST, STOCKTON, CA 95202-2343
(209) 468-9370
Mailing address
620 N AURORA ST, STOCKTON, CA 95202-2343
(209) 468-9370
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
04/11/2025
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