MYLENA AVALOS DOMINGUEZ

SALT LAKE CITY, UT
NPI1861970337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AZ  86046227)
Enumeration Date2018-08-06
Last Update Date2019-11-01
Business Address
MYLENA AVALOS DOMINGUEZ RD
295 S CHIPETA WAY STE 248
SALT LAKE CITY, UT 84108-1287
Phone number: 801-213-3779
Mailing Address
MYLENA AVALOS DOMINGUEZ RD
140 W SPEEDWAY BLVD STE 100
TUCSON, AZ 85705-7687
Phone number: 520-628-7871