| NPI | 1871019737 |
|---|---|
| Professional Name | CLARIVEL DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: CA 1501214442) |
| Additional Taxonomies | 283XC2000X Rehabilitation Hospital, Children (Licence: CA 1170064024) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |