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Linda Dominguez

Case Manager/Care Coordinator in Santa Fe, NM. Individual provider (NPI-1).

NPI number1982170684
StatusActive
Last updated in NPPESOct 19, 2018

Details

NPI
1982170684
Entity type
Individual (NPI-1)
Name
Linda Dominguez
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 19, 2018
Last updated
Oct 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–NMYes

Practice location

2325 Cerrillos Rd
Santa Fe, NM 87505-3373

Phone 505-438-0010 · Fax 505-438-6011

Mailing address

2325 Cerrillos Rd
Santa Fe, NM 87505-3373

Phone 505-438-0010 · Fax 505-438-6011

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