Individual
JULAISY DOMINGUEZ
Active
Individual
JULAISY DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-399962
FL
225700000X
Massage Therapist
Primary
MA63116
FL
Other
Enumeration date
05/20/2011
Last updated
02/05/2025
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