Individual
LINDSEY DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3099
(505) 242-1010
Mailing address
2745 MORNINGSIDE DR NE, ALBUQUERQUE, NM 87110-2939
(505) 796-2457
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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