FERNANDO CARLOS DOMINGUEZ

VENTURA, CA
NPI1700078607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  pt26056)
Enumeration Date2007-08-14
Last Update Date2007-08-14
Business Address
Mr. FERNANDO CARLOS DOMINGUEZ LPT
300 HILLMOT AVE
VENTURA, CA 93003
Phone number: 805-652-6727
Mailing Address
Mr. FERNANDO CARLOS DOMINGUEZ LPT
300 HILLMONT AVE
VENTURA, CA 93003-1651
Phone number: 805-652-6727
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