Individual
DOREEN JOE HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN, CHES
Contact information
Practice address
2300 CAMINO RAMON, SAN RAMON, CA 94583-1354
(925) 997-5845
Mailing address
2300 CAMINO RAMON, SAN RAMON, CA 94583-1354
(925) 244-7349
(925) 244-7254
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
8212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946365467
—
CA
Enumeration date
09/21/2020
Last updated
01/03/2022
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