Individual
JESSICA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 BOEING DR, EL PASO, TX 79925-1224
(915) 599-6600
Mailing address
141 JOHNNY TELLES, CLINT, TX 79836
(915) 328-8491
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109598
TX
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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