Individual
JANICEL DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
Mailing address
11225 SW 189TH LN, MIAMI, FL 33157-7579
(305) 323-1564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14882600
NJ
Other
Enumeration date
07/24/2023
Last updated
06/20/2024
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