Search › California › 374J00000X
Dominique Shaw
NPI 1457133555 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1018 18th St Unit B
Oakland, CA 94607 - Phone
- (803) 539-1919
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California