Individual
ANGELICA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8108
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(323) 397-9385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78366
CA
Other
Enumeration date
07/28/2022
Last updated
08/01/2022
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