Individual
EMMA YVONNE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 WHEELING AVE, EL PASO, TX 79930-4321
(915) 252-8047
Mailing address
3105 WHEELING AVE, EL PASO, TX 79930-4321
(915) 252-8047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
521759
TX
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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