Individual
DEBORAH ANN DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 679-2000
Mailing address
99 E RIVER DR FL 5, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(860) 423-4694
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002045
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004208767
—
CT
Enumeration date
08/01/2006
Last updated
04/16/2021
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