Individual
MISS ANA CECILIA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3539 COLLEGE AVE, SAN DIEGO, CA 92115-7032
(619) 818-3788
Mailing address
3539 COLLEGE AVE, SAN DIEGO, CA 92115-7032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12295
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2021
Last updated
03/04/2022
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