Individual
DOMIQUE BERNADETTE EMAGUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 CENTERPOINTE DR STE 130, LA PALMA, CA 90623-2562
(657) 325-8313
Mailing address
20 CENTERPOINTE DR STE 130, LA PALMA, CA 90623-2562
(657) 325-8313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16939
CA
Other
Enumeration date
11/18/2019
Last updated
08/21/2024
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