NPI 1003415563

Sanjuanita Dominguez

Practitioner Personal Care Attendant West Fargo, ND

Practice location

Address: 875 34th Ave E APT 314, West Fargo, ND 58078-8051
Phone: (701) 885-1868

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1003415563
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2020
Record last updated: 25 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.