EDUARDO JOSE DOMINGUEZ

FAIRFAX, VA
NPI1982195939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: WI  12-135)
Enumeration Date2018-05-25
Last Update Date2019-03-01
Business Address
EDUARDO JOSE DOMINGUEZ SA-C
12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Phone number: 703-349-1379
Mailing Address
EDUARDO JOSE DOMINGUEZ SA-C
PO BOX 221135
CHANTILLY, VA 20153-1135
Phone number: 703-349-1379
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