JAIME DOMINGUEZ

SANTA MARIA, CA
NPI1750853974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-12-28
Last Update Date2018-12-28
Business Address
Mr. JAIME DOMINGUEZ
212 CARMEN LN STE 2012ND
SANTA MARIA, CA 93458-7769
Phone number: 805-212-7680
Mailing Address
Mr. JAIME DOMINGUEZ
212 CARMEN LN STE 2012ND
SANTA MARIA, CA 93458-7769
Phone number: 805-212-7680
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