Most Relevant Information
Provider Data
| NPI Number: | 1003368341 |
| Provider Name: | ROY A DOMINGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/03/2016 |
| Last Updated: | 11/03/2016 |
Provider Practice Location
4510 LONGVIEW DR
NORTH HIGHLANDS
CA
956605612
Practice Location Phone/Fax
| Phone: | 9163460678 |
| Fax: |
Provider Mailing Location
4510 LONGVIEW DR
NORTH HIGHLANDS
CA
95660
Provider Mailing Phone/Fax
| Phone: | 9163460678 |
| Fax: |