Individual
DOMINIQUE GIAMBALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 E GRAND AVE, ESCONDIDO, CA 92025-4605
(760) 741-2660
Mailing address
1002 E GRAND AVE, ESCONDIDO, CA 92025-4605
(760) 466-8841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
09/03/2024
Last updated
10/03/2024
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