Individual
DOMINIC J ORDAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3133 LAUREL ST, NAPA, CA 94558-5628
(415) 861-0828
Mailing address
3133 LAUREL ST, NAPA, CA 94558-5628
(415) 861-0828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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