DOMINIK BRAYDEN WENGERT

SAN JOSE, CA
NPI1427706779
Former NameDOMINGO ORGANISTA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-03-15
Last Update Date2024-01-08
Business Address
Mr. DOMINIK BRAYDEN WENGERT
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number: 669-245-3429
Mailing Address
Mr. DOMINIK BRAYDEN WENGERT
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number: 669-245-3429
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