SearchCalifornia2355S0801X

Jacqueline Dominguez

NPI 1306679881 · on the registry since 2024 · sole proprietor

Practice

Address
3527 W 111th St
Inglewood, CA 90303
Phone
(310) 946-3496

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California