DOMINIQUE PAKINGAN

ANAHEIM, CA
NPI1801469754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  PTA49311)
Enumeration Date2021-07-19
Last Update Date2021-07-20
Business Address
DOMINIQUE PAKINGAN
141 S KNOTT AVE
ANAHEIM, CA 92804-1406
Phone number: 714-821-7310
Mailing Address
DOMINIQUE PAKINGAN
10811 CARLA PL
CERRITOS, CA 90703-1504
Phone number: 562-569-9886