Individual
ANITA MICHELLE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13915 BURNET RD STE 303, AUSTIN, TX 78728-6505
(512) 269-5425
(512) 996-9905
Mailing address
13915 BURNET RD STE 303, AUSTIN, TX 78728-6505
(512) 269-5425
(512) 996-9905
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
839522
TX
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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