Individual
CALEB DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., CET, CPT
Contact information
Practice address
1009 OAK HILL DR, CHULA VISTA, CA 91915-1409
(619) 254-2021
Mailing address
1009 OAK HILL DR, CHULA VISTA, CA 91915-1409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1023145
CA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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