Individual
ANJELICA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
609 S CAROLINA ST, AMARILLO, TX 79106-8721
(806) 803-9486
Mailing address
609 S CAROLINA ST, AMARILLO, TX 79106-8721
(806) 803-9486
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1086335
TX
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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