Individual
MS. JULIA C J DOMVILLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
38950 BLACOW RD, STE D, FREMONT, CA 94536
(510) 790-1428
Mailing address
38950 BLACOW RD, STE D, FREMONT, CA 94536
(510) 790-1428
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MFC 12167
CA
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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