Individual
BRENDA LILIANA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 N 1ST ST STE 112&124, FRESNO, CA 93726-6800
(855) 343-1057
Mailing address
3636 N 1ST ST STE 112&124, FRESNO, CA 93726-6800
(855) 343-1057
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
02/21/2024
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