Individual
AMANDA ROCIO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W SANTA ANA BLVD STE 100, SANTA ANA, CA 92701-4134
(714) 480-6660
Mailing address
200 W SANTA ANA BLVD STE 100, SANTA ANA, CA 92701-4134
(714) 480-6660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126986
CA
Other
Enumeration date
01/09/2025
Last updated
12/17/2025
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