Individual
WENDY DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 LYONS RD APT 4203, COCONUT CREEK, FL 33063-6764
(954) 383-5852
Mailing address
931 LYONS RD APT 4203, COCONUT CREEK, FL 33063-6764
(954) 383-5852
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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