DOMONIQUE LUCIO

SAN DIEGO, CA
NPI1336603547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-01-22
Last Update Date2019-01-22
Business Address
DOMONIQUE LUCIO
8775 AERO DR
SAN DIEGO, CA 92123-1792
Phone number: 858-609-8742
Mailing Address
DOMONIQUE LUCIO
8775 AERO DR STE 132
SAN DIEGO, CA 92123-1779
Phone number: 858-609-8742