Individual
JOSHUA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 S BREA BLVD STE A, BREA, CA 92821-5338
(714) 987-3130
Mailing address
440 S BREA BLVD STE A, BREA, CA 92821-5338
(714) 987-3130
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA8602
CA
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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