Individual
DOMINICK ANTHONY GULIZO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 STANLEY AVE APT 130, FORT WORTH, TX 76110-2957
(469) 226-5901
(817) 516-9102
Mailing address
2901 STANLEY AVE APT 130, FORT WORTH, TX 76110-2957
(469) 226-5901
(817) 516-9102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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