Individual
JOSEPH DOUMAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
PO BOX 1295, BLUE LAKE, CA 95525-1295
(707) 845-5441
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
639848
CA
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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