June M Domino, is a
Recreation Therapist based in Fresno, California. June M Domino is licensed to practice in * (Not Available) (license number ) and her current practice location is
6121 N Thesta St Ste 305, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(323) 538-1727.
NPI number for June M Domino is 1760659247 and her current mailing address is 6121 N Thesta St Ste 305, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760659247.
Healthcare Provider's Profile
Full Name | June M Domino |
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Gender | Female |
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Speciality | Recreation Therapist |
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Location | 6121 N Thesta St Ste 305, Fresno, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760659247
- Provider Enumeration Date: 05/13/2008
- Last Update Date: 07/13/2021
Medical Identifiers
Medical identifiers for June M Domino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760659247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSB33138 (California) | Secondary |
225800000X | Recreation Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. June M Domino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
June M Domino, 6121 N Thesta St Ste 305, Fresno, CA 93710-8603 Ph: (323) 538-1727 | June M Domino, 6121 N Thesta St Ste 305, Fresno, CA 93710-8603 Ph: (323) 538-1727 |
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