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Individual

YVONNE DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6811 MAPLE GROVE CT, YORBA LINDA, CA 92886-6762
(714) 396-2333
Mailing address
6811 MAPLE GROVE CT, YORBA LINDA, CA 92886-6762
(714) 396-2333

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B7856444
CA

Other

Enumeration date
08/19/2024
Last updated
08/20/2024
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