Individual
MARIA DE LOS ANGELES DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANG
Contact information
Practice address
760 N MOTEL BLVD, LAS CRUCES, NM 88007-4169
(575) 527-7975
(575) 674-2861
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
10/23/2023
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