Individual
ESMERALDA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9645
(505) 869-9283
Mailing address
590 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9645
(505) 869-9283
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2025-0159
NM
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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