Individual
MARILY DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9016 WORTH CT, EL PASO, TX 79925-6625
(915) 275-7290
Mailing address
9016 WORTH CT, EL PASO, TX 79925-6625
(915) 275-7290
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85539
TX
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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