FREDDIE LEE DOMINGUEZ

POMONA, CA
NPI1710492087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-08
Last Update Date2024-11-03
Business Address
FREDDIE LEE DOMINGUEZ
2180 W VALLY BLVD
POMONA, CA 91768
Phone number: 909-865-2336
Mailing Address
FREDDIE LEE DOMINGUEZ
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336