Individual
DR. JESSE VINCENT DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
725 E. MAIN ST., SUITE 1C, SOMERTON, AZ 85350-0634
(928) 627-4525
(928) 627-4524
Mailing address
PO BOX 634, SOMERTON, AZ 85350-0634
(928) 627-4525
(928) 627-4524
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1210
AZ
Other
Enumeration date
09/09/2010
Last updated
08/14/2013
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