SANDRA ELIZABETH DOMINGUEZ

MAYWOOD, IL
NPI1750043071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209023847)
Enumeration Date2021-10-13
Last Update Date2022-05-19
Business Address
SANDRA ELIZABETH DOMINGUEZ NP
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
Mailing Address
SANDRA ELIZABETH DOMINGUEZ NP
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
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