Individual
MS. CLARIVEL DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WELLNESS COACH
Contact information
Practice address
13109 CURTIS AND KING RD, NORWALK, CA 90650-2152
(323) 896-1344
Mailing address
13109 CURTIS AND KING RD, NORWALK, CA 90650-2152
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1501214442
CA
283XC2000X
Children's Rehabilitation Hospital
1170064024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/22/2017
Last updated
08/22/2017
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