ALEXANDER DOMINGUEZ

SAN LUIS OBISPO, CA
NPI1366868317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-03-14
Last Update Date2014-03-14
Business Address
-- ALEXANDER DOMINGUEZ
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4750
Mailing Address
-- ALEXANDER DOMINGUEZ
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4750
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