Tiffany Dominguez

NPI #1104162023 in Tucumcari, New Mexico

Provider Information

NPI Number: 1104162023
Entity Type: Individual
Name: Tiffany Dominguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 20, 2012
Last Updated: Mar 25, 2015

Practice Location

Address: 1005 S. MONROE
City: Tucumcari
State: New Mexico
ZIP Code: 88401
Phone: (575) 461-4013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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