Individual
MISS CARMEN JUDITH ROSARIO DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7509 PERLA DEL MAR AVE, LAS VEGAS, NV 89179-2500
(702) 327-1907
Mailing address
7509 PERLA DEL MAR AVE, LAS VEGAS, NV 89179-2500
(702) 327-1907
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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