JACOB MAURO DOMINGUEZ

BRONX, NY
NPI1982122628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  329762)
Enumeration Date2017-09-01
Last Update Date2022-07-21
Business Address
JACOB MAURO DOMINGUEZ LPN
223 BROOK AV
BRONX, NY 10454
Phone number: 718-541-5218
Mailing Address
JACOB MAURO DOMINGUEZ LPN
223 BROOK AVE
BRONX, NY 10454-4106
Phone number: 718-541-5218
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