SANDRA JO DOMERACKI

SAN FRANCISCO, CA
NPI1275778730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  434189)
Enumeration Date2008-12-11
Last Update Date2016-11-09
Business Address
Ms. SANDRA JO DOMERACKI NP
4150 CLEMENT ST BUILDING 203, GB-31
SAN FRANCISCO, CA 94121-1545
Phone number: 415-221-4810
Mailing Address
Ms. SANDRA JO DOMERACKI NP
639 LARKSPUR PLAZA DRIVE
LARKSPUR, CA 94939
Phone number: 415-221-4810
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