Guadalupe Dominguez
Case Manager/Care Coordinator in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1679040489
StatusActive
Last updated in NPPESOct 30, 2018
Details
- NPI
- 1679040489
- Entity type
- Individual (NPI-1)
- Name
- Guadalupe Dominguez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2018
- Last updated
- Oct 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
344 E 100 SSalt Lake City, UT 84111-1700
Phone 385-626-5907
Mailing address
344 E 100 SSalt Lake City, UT 84111-1700
Phone 385-626-5907
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