Individual
AMANDA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
4560 S EASTERN AVE STE 15, LAS VEGAS, NV 89119-6182
(702) 401-0811
Mailing address
4560 S EASTERN AVE STE 15, LAS VEGAS, NV 89119-6182
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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