Individual
JACKLYN DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1128 N FEDERAL HWY STE 107, HOLLYWOOD, FL 33020-3628
(954) 795-0672
Mailing address
2751 OCEAN CLUB BLVD APT 106, HOLLYWOOD, FL 33019-3930
(954) 795-0672
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA106807
FL
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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