Individual
DOMINIQUE ZARITH HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 REFUGIO RD, GOLETA, CA 93117-9778
(805) 243-0199
Mailing address
2504 REFUGIO RD, GOLETA, CA 93117-9778
(805) 243-0199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
22-207173
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
07/07/2023
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