Individual
ADANNYS DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13205 SW 137TH AVE STE 132, MIAMI, FL 33186-5334
(786) 478-6369
(786) 429-1704
Mailing address
14248 SW 100TH LN, MIAMI, FL 33186-6959
(305) 744-4525
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225700000X
Massage Therapist
MA46559
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/24/2013
Last updated
05/06/2020
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