Individual
MARIA J DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11049 SUNSHINE CT, EL PASO, TX 79936-1063
(915) 691-4241
Mailing address
11049 SUNSHINE CT, EL PASO, TX 79936-1063
(915) 691-4241
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
92550
TX
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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