Individual provider · Type 1 NPI
Mariah Lupe Dominguez
Student in an Organized Health Care Education/Training Program · Vallejo, CA
NPI number
1407131964
Active
Practice location
355 Tuolumne Street, Ste 1400
Vallejo, CA 94590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1407131964
Mariah Lupe Dominguez's National Provider Identifier is 1407131964, issued on Oct 17, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vallejo, CA. The record was last updated on Oct 17, 2011.