Individual
SUELANA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7053 W CENTRAL AVE, TOLEDO, OH 43617-1114
(419) 843-1370
(419) 843-1362
Mailing address
7053 W CENTRAL AVE, TOLEDO, OH 43617-1114
(419) 843-1370
(419) 843-1362
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33018855-C-D
OH
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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