Individual
JENNIFER MICHELLE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 CENTURY PARK E STE 405, LOS ANGELES, CA 90067-2007
(310) 553-2695
Mailing address
14553 WOODRUFF AVE, BELLFLOWER, CA 90706-3236
(310) 525-8874
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5020
CA
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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