Individual
FREDERICK RAE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1211 EAST FRONTAGE RD, ALAMO, TX 78516
(956) 702-7550
(956) 702-0612
Mailing address
1211 EAST FRONTAGE RD, ALAMO, TX 78516
(956) 702-7550
(956) 702-0612
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
166292
TX
Other
Enumeration date
01/28/2021
Last updated
02/01/2021
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