Individual
CECILIE-JOY L DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 2ND ST, EUREKA, CA 95501-0811
(707) 269-9592
(707) 444-8012
Mailing address
535 5TH ST, APT. A, ARCATA, CA 95521-6347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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