Individual
DR. ROXANN ISRAELLE DOMINGUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2400 LOUISIANA BLVD NE, BUILDING 5, SUITE 600, ALBUQUERQUE, NM 87110-4303
(505) 346-9566
Mailing address
6601 TENNYSON ST NE, #4203, ALBUQUERQUE, NM 87111-8161
(512) 736-4638
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
RP00006828
NM
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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