Individual
BERENICE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 GARDEN AVE, WOODLAND PARK, NJ 07424-3325
(786) 346-4014
Mailing address
38 GARDEN AVE, WOODLAND PARK, NJ 07424-3325
(786) 346-4014
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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