Johnson, Dominique Lariah
Johnson, Dominique Lariah is an sole proprietor health care provider with primary practice located at 1330 E Adams Park Dr , Covina CA 91724-2923. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Johnson, Dominique Lariah can be contacted via phone (626) 428-4023.Contact Information
Primary practice address
1330 E Adams Park Dr
Covina CA 91724-2923
Phone: (626) 428-4023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1518668185 |
|---|---|
| LBN Legal business name | Johnson, Dominique Lariah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2023 |
| Last updated | Jul 7th, 2024 - about 2 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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