Individual
MR. MARVIN DOMINGUEZ SANGRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5400 S RAINBOW BLVD, LAS VEGAS, NV 89118
(702) 853-3413
Mailing address
6255 W ARBY AVE, # 288, LAS VEGAS, NV 89118-4656
(702) 480-4215
(702) 898-6470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1786
NV
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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