Individual
BRITTANY M DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 472-6060
Mailing address
246 PENNWAY DR, NANTY GLO, PA 15943-3411
(814) 505-6320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN764878
PA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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