| Mylena Avalos Dominguez, RD | |
|
295 S Chipeta Way Ste 248, Salt Lake City, UT 84108-1287 | |
| (801) 213-3779 | |
| Not Available |
| Full Name | Mylena Avalos Dominguez |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 11 Years |
| Location | 295 S Chipeta Way Ste 248, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861970337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86046227 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, Inc | 6305739244 | 227 |
| Provider Name | El Rio Santa Cruz Neighborhood Health Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487602736 PECOS PAC ID: 6305739244 Enrollment ID: O20040205000098 |
| Provider Name | St Elizabeths Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235560830 PECOS PAC ID: 3072731397 Enrollment ID: O20140828001967 |
| Mailing Address | Practice Location Address |
|---|---|
| Mylena Avalos Dominguez, RD 140 W Speedway Blvd, Ste 100, Tucson, AZ 85705-7687 Ph: (520) 628-7871 | Mylena Avalos Dominguez, RD 295 S Chipeta Way Ste 248, Salt Lake City, UT 84108-1287 Ph: (801) 213-3779 |
Andrea Addley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1174 E Graystone Way Ste 1a, Salt Lake City, UT 84106 Phone: 801-664-2182 | |
Ms. Erinn Meyer, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8th Ave & C St, Salt Lake City, UT 84143 Phone: 804-408-1760 | |
Krista Skye Viau, MS, RD, CSP, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-587-9590 | |
Amelia Pape, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2079 S 1200 E Unit 210, Salt Lake City, UT 84105 Phone: 970-231-7392 | |
Dakota Wren Chetrit, PA-C, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 565 S Komas Dr, Salt Lake City, UT 84108 Phone: 801-584-5144 | |
Carol Fletcher, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-4017 | |
Sara Stevenson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5325 |