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Amber Nicole Dominguez
Substance Use Disorder Rehabilitation Clinic/Center in San Luis Obispo, California
NPI 1831800465

Amber Nicole Dominguez is a Substance Use Disorder Rehabilitation Clinic/Center based in Paso Robles, CA and is specialized in Rehabilitation, Substance Use Disorder. Amber Nicole Dominguez practices in San Luis Obispo, CA. The NPI Number for Amber Nicole Dominguez is 1831800465 and holds a License No. (California).

The current practice location address for Amber Nicole Dominguez is 2180 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-4746.

Location: 2180 Johnson Ave, San Luis Obispo, CA, 93446-4629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831800465
Provider Name
Amber Nicole Dominguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
2180 Johnson Ave, San Luis Obispo, CA, 93446-4629
Phone Number
805-781-4746
Fax Number
Provider Enumeration Date
12/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2180 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401
Phone Number
805-781-4746
Fax Number
person
Provider Business Mailing Address Details
Address
2180 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401
Phone Number
805-781-4746
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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