JACKI E DOMINGUEZ

EL PASO, TX
NPI1588054571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2109129)
Enumeration Date2015-01-28
Last Update Date2015-01-28
Business Address
-- JACKI E DOMINGUEZ PTA
6601 MONTANA AVE STE G&H
EL PASO, TX 79925-2155
Phone number: 915-838-7604
Mailing Address
-- JACKI E DOMINGUEZ PTA
6601 MONTANA AVE STE G&H
EL PASO, TX 79925-2155
Phone number: 915-838-7604