SAVANAH NICOLE DOMINGUEZ

MODESTO, CA
NPI1427922111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Y9012959)
Enumeration Date2025-10-03
Last Update Date2025-10-03
Business Address
SAVANAH NICOLE DOMINGUEZ RADT
1116 ALICE ST
MODESTO, CA 95350-5905
Phone number: 209-578-3132
Mailing Address
SAVANAH NICOLE DOMINGUEZ RADT
1116 ALICE ST
MODESTO, CA 95350-5905
Phone number: 209-578-3132
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