JUAN CARLOS DOMINGUEZ

EL PASO, TX
NPI1568949998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  138389)
Enumeration Date2018-07-27
Last Update Date2018-07-27
Business Address
JUAN CARLOS DOMINGUEZ
12430 PASEO BLANCO DR
EL PASO, TX 79928-5681
Phone number: 915-588-8513
Mailing Address
JUAN CARLOS DOMINGUEZ
12430 PASEO BLANCO DR
EL PASO, TX 79928-5681
Phone number: