Individual
ARELY DOMINGUEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
350 LYCKMAN PL, FOUNTAIN, CO 80817-2861
(719) 632-5700
(719) 322-0776
Mailing address
PO BOX 669, AHOSKIE, NC 27910-0669
(252) 209-0237
(252) 209-0197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5011630
NC
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0003054-C-NP
CO
Other
Enumeration date
05/14/2019
Last updated
08/25/2021
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