Individual
DOMINIQUE ANTOINETTE DAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(530) 301-4493
Mailing address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(530) 301-4493
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
04/21/2025
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