Individual
DOMINIQUE LATIFAH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 W SHAW AVE STE 114, FRESNO, CA 93711-3303
(559) 374-3990
Mailing address
3433 W SHAW AVE STE 102, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
07/01/2022
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