Individual
RITA GENOVEVA DOMINGUEZ ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW2
Contact information
Practice address
6285 ANGORA PEAK LN, LAS VEGAS, NV 89115-1662
(954) 860-3216
Mailing address
6285 ANGORA PEAK LN, LAS VEGAS, NV 89115-1662
(954) 860-3216
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
NV
172V00000X
Community Health Worker
Primary
207Q00000X
NV
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
MULTI SPECIALTY-GROUP
NV
Enumeration date
09/06/2023
Last updated
12/05/2025
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