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Individual

EMELE DOMINIKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21 MARIAN CT APT 2, SAN RAFAEL, CA 94901-4334
(415) 785-8741
Mailing address
21 MARIAN CT APT 2, SAN RAFAEL, CA 94901-4334
(415) 785-8741
(415) 524-4214

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CA

Other

Enumeration date
09/03/2012
Last updated
02/08/2013
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