Jesse Judd-Dominguez
NPI #1003256967 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1003256967
- Entity Type
- Individual
- Name
- Jesse Judd-Dominguez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jun 25, 2013
- Last Updated
- Jun 25, 2013
Practice Location
- Address
- 1344 W STATE RD
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-5022
- Phone
- (801) 785-8870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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