Individual
PAULA P DOMINGUEZLEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1463 I94 BUSINESS LOOP E, DICKINSON, ND 58601-6434
(701) 227-7500
(701) 227-7575
Mailing address
1463 I94 BUSINESS LOOP E, DICKINSON, ND 58601-6434
(701) 227-7500
(701) 227-7575
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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