Individual
ALEXIS MONIQUE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 S 37TH ST, KANSAS CITY, KS 66106-2032
(816) 405-2390
Mailing address
1300 S 37TH ST, KANSAS CITY, KS 66106-2032
(816) 405-2390
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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