MISS Maria Louisa Dominguez

NPI #1245683432 in Roxbury, Massachusetts

Provider Information

NPI Number: 1245683432
Entity Type: Individual
Name: MISS Maria Louisa Dominguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 22, 2016
Last Updated: Jul 22, 2016

Practice Location

Address: 520 DUDLEY ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119-2769
Phone: (617) 445-6655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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