Individual
DOMINIQUE LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3490 N PASEO DE SAN AGUSTIN, TUCSON, AZ 85712-6035
(503) 830-6813
Mailing address
1934 N MADELYN AVE, TUCSON, AZ 85712-3251
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-86516
AZ
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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