Individual
DOMINEQUE D NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
EXTI 102 OFF I - 40 1/2 MI SOUTH, SAN FIDEL, NM 87049-0130
(505) 552-5385
(505) 552-9473
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5385
(505) 552-9473
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
07001473
NM
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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