Individual
TIFFANY DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, SLPA
Contact information
Practice address
730 SUNRISE AVE STE 120, ROSEVILLE, CA 95661-4549
(408) 437-8864
Mailing address
911 BERN CT STE 130, SAN JOSE, CA 95112-1242
(408) 437-8864
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4612
CA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
About Stedi
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