Individual
MS. FERNANDA RODRIGUEZ DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 S. PECOS RD. SUITE 18, LAS VEGAS, NV 89121
(702) 396-3464
Mailing address
4160 S. PECOS RD. SUITE 18, LAS VEGAS, NV 89121
(702) 396-3464
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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