Individual
MS. ELIZABETH DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
1210 PLUM ST, FLORESVILLE, TX 78114-1820
(830) 251-9650
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332562
TX
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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