Individual
ALEJANDRA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1701 W 72ND AVE, DENVER, CO 80221-2721
(303) 650-4460
Mailing address
24601 E 152ND AVE, BRIGHTON, CO 80603-3823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0008605
CO
Other
Enumeration date
07/09/2024
Last updated
08/06/2024
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