Individual
NATALI SHAVER DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
923 N WALNUT ST, CAMERON, MO 64429-1341
(816) 632-1799
Mailing address
4001 CHESAPEAKE DR, SAINT JOSEPH, MO 64506-1561
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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