Jaclyn Dominguez
NPI #1972842656 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1972842656
- Entity Type
- Individual
- Name
- Jaclyn Dominguez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 31, 2013
- Last Updated
- Jan 31, 2013
Practice Location
- Address
- 541 QUANTUM RD NE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-4502
- Phone
- (505) 994-9178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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