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Individual

ANA M DOMINGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1432 S DOBSON RD STE 402, MESA, AZ 85202-4777
(480) 412-5550
Mailing address
PO BOX 2536, GILBERT, AZ 85299-2536
(480) 412-7863

Taxonomy

Speciality
Code
Description
License number
State
133VN1401X
Pediatric Critical Care Nutrition Registered Dietitian
Primary
858579
AZ

Other

Enumeration date
01/21/2026
Last updated
01/21/2026
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