Individual
ANDREA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5217 MONROE ST, TOLEDO, OH 43623-4601
(419) 561-5433
Mailing address
5217 MONROE ST, TOLEDO, OH 43623-4601
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN479230
OH
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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