Individual
CRISTINA LISETTE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
11163 LA QUINTA PL STE A200, EL PASO, TX 79936-5257
(915) 218-6055
Mailing address
11163 LA QUINTA PL STE A200, EL PASO, TX 79936-5257
(915) 218-6055
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1152358
TX
Other
Enumeration date
02/19/2024
Last updated
02/25/2024
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