Individual
LOURDES DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GRIFFIN BROOK DR STE 100, METHUEN, MA 01844-1865
(978) 689-2400
Mailing address
9 WAKEFIELD DR, NASHUA, NH 03062-2109
(603) 438-8115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN97936
MA
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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