Individual
JASMINE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 LARKSPUR DR APT 1812, SAN ANTONIO, TX 78213-4856
(210) 409-6149
Mailing address
1955 LARKSPUR DR APT 1812, SAN ANTONIO, TX 78213-4856
(210) 409-6149
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
346750
TX
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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