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Dominic Requina
NPI 1639402068 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3330 Alamos Ave
Clovis, CA 93619 - Phone
- (718) 501-2126
- Fax
- (559) 348-1289
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-16
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