Individual
MRS. DOMINIQUE LIZETTE OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2821 MICHAELANGELO DR, STE303, EDINBURG, TX 78539-1404
(956) 362-2490
(956) 362-2493
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-2171
(956) 627-6015
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80750
TX
Other
Enumeration date
08/03/2016
Last updated
01/24/2017
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