Individual provider · Type 1 NPI

Lanesha Dominique

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1114766946 Active

Practice location

600 Bercut Dr
Sacramento, CA 95811-0131

Call (916) 440-1500 Map

Fax (916) 400-1514

Mailing address

3780 Rosin Ct Ste 110
Sacramento, CA 95834-1698

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114766946

Lanesha Dominique's National Provider Identifier is 1114766946, issued on May 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 10, 2024.