Individual
CLAUDIA MARIA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 30TH ST STE K, SAN DIEGO, CA 92154-3497
(619) 428-1000
Mailing address
1465 30TH ST STE K, SAN DIEGO, CA 92154-3497
(619) 428-1000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5335
CA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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