Individual
MR. DANIEL B. DOMAOAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
396 CHALAN SAN ANTONIO, BRI BLDG, SUITE 101, TAMUNING, GU 96913-3308
(671) 685-1952
Mailing address
PO BOX 4807, HAGATNA, GU 96932-8653
(671) 685-1952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLA-41
GU
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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