Individual
GUADALUPE R DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1905 CIVIC CENTER DR, NORTH LAS VEGAS, NV 89030-7143
(702) 877-9514
(702) 312-3510
Mailing address
5701 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89146-1217
(702) 312-3444
(702) 312-3510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA849
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649268913
—
NV
Enumeration date
10/11/2005
Last updated
11/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us