Johnson, Domario Davon

Johnson, Domario Davon is an individual health care provider with primary practice located at 599 Tomales Rd , Petaluma CA 94952-5002. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Johnson, Domario Davon can be contacted via phone (707) 765-7774.

Contact Information

Primary practice address
599 Tomales Rd Petaluma CA 94952-5002
Phone: (707) 765-7774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1700033131
LBN Legal business name Johnson, Domario Davon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2008
Last updated Aug 27th, 2008 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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