Individual
NELSON JESUS CRUZ DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
2870 W 71ST ST APT 203, HIALEAH, FL 33018-5366
(786) 222-7869
Mailing address
2870 W 71ST ST APT 203, HIALEAH, FL 33018-5366
(786) 222-7869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9452804
FL
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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