Individual
MR. JESUS GARCIA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
355 W 20TH ST APT 312, HIALEAH, FL 33010-2553
(786) 371-7926
Mailing address
355 W 20TH ST APT 312, HIALEAH, FL 33010-2553
(786) 371-7926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11004300
FL
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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