Individual
MR. DOMINIC HENRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31020 CA-3, BLDG 34, WEAVERVILLE, CA 96093
(530) 623-5533
Mailing address
201 MEMORIAL DRIVE, WEAVERVILLE, CA 96093
(530) 623-2861
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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