Zoraida Sofia Dominguez
Technician, Attendant Care Provider in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982104154
StatusActive
Last updated in NPPESFeb 14, 2018
Details
- NPI
- 1982104154
- Entity type
- Individual (NPI-1)
- Name
- Zoraida Sofia Dominguez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2018
- Last updated
- Feb 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | 1704551333 | NV | Yes |
Practice location
1951 Stella Lake St Ste 36Las Vegas, NV 89106-2144
Phone 702-595-1415
Mailing address
652 Maccabe AveLas Vegas, NV 89123-6234
Phone 702-861-7991
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