VIRCELITO A. DOMENDEN

SAN MATEO, CA
NPI1720633050
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-05
Last Update Date2019-08-05
Business Address
VIRCELITO A. DOMENDEN
900 LAUREL AVE
SAN MATEO, CA 94401-4211
Phone number: 650-293-9407
Mailing Address
VIRCELITO A. DOMENDEN
30685 UNION CITY BLVD
UNION CITY, CA 94587-2546
Phone number: 510-502-8589
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