Individual
JAY DOMINIQUE DE LA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79-7346 MAMALAHOA HWY, KEALAKEKUA, HI 96750-7910
(817) 542-2406
Mailing address
79-7346 MAMALAHOA HWY, KEALAKEKUA, HI 96750-7910
(817) 542-2406
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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