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 |