Dominique Keenan, RADT-I
NPI #1811447063 in Sacramento, California
Provider Information
- NPI Number
- 1811447063
- Entity Type
- Individual
- Name
- Dominique Keenan, RADT-I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Credential
- RADT-I
- Enumeration Date
- Oct 12, 2016
- Last Updated
- Oct 12, 2016
Practice Location
- Address
- 1550 JULIESSE AVE
- City
- Sacramento
- State
- California
- ZIP Code
- 95815-1803
- Phone
- (916) 921-6598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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