Individual
MS. OLIVIA AURORA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3752 ATLANTIC AVE, LONG BEACH, CA 90807-6667
(562) 325-2599
Mailing address
3752 ATLANTIC AVE, LONG BEACH, CA 90807-6667
(562) 325-2599
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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