Individual
ALVA M DOMINGUEZ SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16041 KAMANA RD STE A, APPLE VALLEY, CA 92307-1331
(760) 503-1208
Mailing address
PO BOX 401224, HESPERIA, CA 92340-1224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92687
CA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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