Individual
MRS. JOYCE DOMINGUEZ WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5400 S RAINBOW BLVD, LAS VEGAS, NV 89118
(702) 853-3000
Mailing address
4327 OASIS PLAINS AVE, LAS VEGAS, NV 89085
(702) 260-6611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0809
NV
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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