Individual
ELIZABETH DOMINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1121 S 3RD AVE, PHOENIX, AZ 85003-2614
(602) 257-3904
Mailing address
1121 S 3RD AVE, PHOENIX, AZ 85003-2614
(602) 257-3904
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
226574
AZ
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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