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Individual

JULAISY DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2265 SW 148TH CT, MIAMI, FL 33185-5623
(954) 266-9782
Mailing address
2265 SW 148TH CT, MIAMI, FL 33185-5623
(954) 266-9782

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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