Individual
DOMINIKA VALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 LAS BRISAS DR, MINDEN, NV 89423-4244
(408) 242-5564
Mailing address
1122 LAS BRISAS DR, MINDEN, NV 89423-4244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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