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1174249205
TIFFANY DOMINGUEZ
ROSEVILLE, CA
NPI
1174249205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA 4612)
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
TIFFANY DOMINGUEZ BS, SLPA
730 SUNRISE AVE STE 120
ROSEVILLE, CA 95661-4549
Phone number: 408-437-8864
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Mailing Address
TIFFANY DOMINGUEZ BS, SLPA
911 BERN CT STE 130
SAN JOSE, CA 95112-1242
Phone number: 408-437-8864
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