Amanda Kristen Dominguez
NPI #1114596244 in Pacoima, California
Provider Information
- NPI Number
- 1114596244
- Entity Type
- Individual
- Name
- Amanda Kristen Dominguez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jun 22, 2021
- Last Updated
- Jun 22, 2021
Practice Location
- Address
- 11005 NORRIS AVE # 43
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-2501
- Phone
- (818) 480-1144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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