PATRICIA GWEN DOMINGUEZ

ROSEVILLE, CA
NPI1043886054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  20582)
Enumeration Date2021-06-01
Last Update Date2025-12-01
Business Address
PATRICIA GWEN DOMINGUEZ SUDCC II
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Mailing Address
PATRICIA GWEN DOMINGUEZ SUDCC II
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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