Individual
DOMANISHA GATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14719 SATURN DR, SAN LEANDRO, CA 94578-1346
(510) 303-5701
Mailing address
14719 SATURN DR, SAN LEANDRO, CA 94578-1346
(510) 303-5701
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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