Individual
ANDREA ALEJANDRA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
26600 CACTUS AVE, MORENO VALLEY, CA 92555-3901
(626) 383-0644
Mailing address
14317 CHESEBRO CT, FONTANA, CA 92335-3048
(626) 383-0644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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