Individual
DOMINIQUE MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE # 128, ALBUQUERQUE, NM 87108-5153
(505) 573-4891
Mailing address
6927 HAWKWATCH RD NW, ALBUQUERQUE, NM 87114-5982
(505) 573-4891
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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