Individual
STEPHANIE LYNN DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 E HACKBERRY AVE, MCALLEN, TX 78501-6502
(956) 618-7100
(956) 992-9866
Mailing address
2424 N J ST APT 6, MCALLEN, TX 78501-5687
(956) 566-5085
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
696363
TX
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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