Individual
DOMINIC MARC MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3924 RIVERVIEW DR, JURUPA VALLEY, CA 92509-6611
(951) 360-4175
Mailing address
3924 RIVERVIEW DR, JURUPA VALLEY, CA 92509-6611
(951) 360-4175
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2024
Last updated
04/07/2026
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