LISA DOMINGO

MARTINEZ, CA
NPI1922888189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  124544)
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
LISA DOMINGO
300 ILENE ST
MARTINEZ, CA 94553-2631
Phone number: 925-326-0647
Mailing Address
LISA DOMINGO
300 ILENE ST
MARTINEZ, CA 94553-2631
Phone number: 925-326-0647