Individual
DR. JESSICA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1993 ERRECART BLVD, ELKO, NV 89801-8334
(888) 940-1049
Mailing address
1993 ERRECART BLVD, ELKO, NV 89801-8334
(888) 940-1049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17029
NV
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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