Individual
MR. DOMINGO S. JARQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 MISSION RD, SOUTH SAN FRANCISCO, CA 94080-1302
(650) 243-4850
Mailing address
1620 N CARPENTER RD, MODESTO, CA 95351-1153
(209) 577-1903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1952493199
CA
Other
Enumeration date
09/22/2009
Last updated
08/18/2021
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