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1134748098
REBECA VANESSA DOMINGUEZ PROFETA
SAN DIEGO, CA
NPI
1134748098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA A203601)
Enumeration Date
2020-04-10
Last Update Date
2025-09-22
Business Address
REBECA VANESSA DOMINGUEZ PROFETA MD
4303 LA JOLLA VILLAGE DR STE 2110
SAN DIEGO, CA 92122-1396
Phone number: 800-926-8273
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Mailing Address
REBECA VANESSA DOMINGUEZ PROFETA MD
FILE 57326
LOS ANGELES, CA 90074-7326
Phone number: 800-926-8273
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