Individual
FELICIA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3902 CARROLLWOOD PLACE CIR, 4-302, TAMPA, FL 33624-3062
(813) 393-8341
Mailing address
3902 CARROLLWOOD PLACE CIRCLE, 4-302, TAMPA, FL 33624
(813) 393-8341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42702
FL
Other
Enumeration date
04/11/2014
Last updated
05/01/2015
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