MEDICARE: DANIELLE DOMINGUEZ RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86265486	AZ

General Provider Information

NPI Number	:	1770308116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE DOMINGUEZ RDN

Provider Business Mailing Address
First Line	:	4738 N POMONA AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4738 N POMONA AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1344
Country	:	US
Telephone Number	:	520-603-3701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2024
Last Update Date	:	11/20/2024

Similar Medicare Providers

1750158796 — PREMIER TRANSPORT SERVICES LLC
Practice Location Address:

4036 N SIOUX AVE
TUCSON, AZ
85705-2435

Practice Phone: 520-499-0745
Practice Fax:

1972456341 — MIRANDA ANSELMO LMT
Practice Location Address:

540 W PRINCE RD STE 4
TUCSON, AZ
85705-3714

Practice Phone: 520-887-2228
Practice Fax:

1255284220 — DAWNOFSPRING TERRY MA, LPC
Practice Location Address:

1120 N 5TH AVE
TUCSON, AZ
85705-7408

Practice Phone: 520-392-0175
Practice Fax:

1548113574 — MINDSPRING PSYCHIATRY LLC
Practice Location Address:

509 W WETMORE RD
TUCSON, AZ
85705-1521

Practice Phone: 520-453-5777
Practice Fax:

1073704896 — RURAL METRO CORPORATION
Practice Location Address:

3759 N COMMERCE DR
TUCSON, AZ
85705-6911

Practice Phone: 520-795-1211
Practice Fax: 480-622-6660

1366395162 — KAYLYNN CARLEY-THROOP LPC
Practice Location Address:

1120 N 5TH AVE
TUCSON, AZ
85705-7408

Practice Phone: 520-624-5600
Practice Fax:

Directions to “ DANIELLE DOMINGUEZ RDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.