Individual
BLANCA G SANCHEZ-DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
1400 S 2ND ST APT C104, MINNEAPOLIS, MN 55454-1077
(612) 770-3513
Mailing address
1730 NEW BRIGHTON BLVD STE 104-221, MINNEAPOLIS, MN 55413-1248
(612) 770-3513
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
N22106286
MN
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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