Individual
MARILETTE DOMINGUEZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 E VAN BUREN ST, PHOENIX, AZ 85008-6920
(602) 243-7277
(626) 756-1132
Mailing address
4126 E MONTECITO AVE, PHOENIX, AZ 85018-4230
(626) 756-1132
(626) 756-1132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
313239
AZ
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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