Individual
MRS. MARICE ANGELIC DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
1021 ELDER AVE, IMPERIAL BEACH, CA 91932
(619) 292-4042
Mailing address
1021 ELDER AVENUE, IMPERIAL BEACH, CA 91932
(619) 292-4042
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
32647
CA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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