Individual
JOSE RAMON DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(888) 949-4864
Mailing address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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