Individual
CANDY OLEA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 E FLOWER ST, PHOENIX, AZ 85016-7498
(602) 381-6000
Mailing address
3207 E CYPRESS ST, PHOENIX, AZ 85008-2912
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14492
AZ
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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