Amanda Kristen Dominguez
Amanda Kristen Dominguez is an Athletic Trainer in Pacoima, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
11005 Norris Ave # 43Pacoima, CA 91331-2501
Phone: (818) 480-1144
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2013 (CA) |
|---|
Record details
| NPI number | 1114596244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 22, 2021 |
| Last updated in NPPES | June 22, 2021 |
| Certification date | June 22, 2021 |
| Mailing address | 11005 Norris Ave # 43, Pacoima, CA 91331-2501 |