NPI 1528865854
Nery a Dominguez
Practice location
- Address
- 1604 W 3rd St, Grand Island, NE 68801-5767
- Phone
- (308) 589-6051
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1528865854
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Feb 2025
- Record last updated
- 25 Feb 2025
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.