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Individual

AMY C DOMINGUEZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
653 NORTHTOWN CENTER DR IVE, SUITE 514, LAS VEGAS, NV 89144
(702) 243-2689
(702) 243-2632
Mailing address
7321 STANGE AVE, LAS VEGAS, NV 89129-5951
(702) 645-1933

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN000781
NV

Other

Enumeration date
02/23/2006
Last updated
07/08/2007
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