DOMINIK BRAYDEN WENGERT

SOUTH SAN FRANCISCO, CA
NPI1427706779
Former NameDOMINGO ORGANISTA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies373H00000X Day Training/Habilitation Specialist
Enumeration Date2022-03-15
Last Update Date2025-12-02
Business Address
Mr. DOMINIK BRAYDEN WENGERT
801 GATEWAY BLVD
SOUTH SAN FRANCISCO, CA 94080-7401
Phone number: 650-573-4799
Mailing Address
Mr. DOMINIK BRAYDEN WENGERT
801 GATEWAY BLVD
SOUTH SAN FRANCISCO, CA 94080-7401
Phone number: 650-573-4799