Most Relevant Information
Provider Data
| NPI Number: | 1003035932 |
| Provider Name: | DOMONIQUE HUALANI ROOD |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/25/2007 |
| Last Updated: | 12/11/2014 |
Provider Practice Location
4151 E FOUNTAIN ST
LONG BEACH
CA
908043023
Practice Location Phone/Fax
| Phone: | 5627199250 |
| Fax: | 5627199257 |
Provider Mailing Location
PO BOX 196
SUNSET BEACH
CA
907420196
Provider Mailing Phone/Fax
| Phone: | 6262099614 |
| Fax: |