Jessica Dominguez
NPI #1285392100 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1285392100
- Entity Type
- Individual
- Name
- Jessica Dominguez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Dec 8, 2021
- Last Updated
- Dec 8, 2021
Practice Location
- Address
- 331 WILSON BRIDGE RD
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-9055
- Phone
- (864) 436-3332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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