Individual provider · Type 1 NPI

Maria Louisa Dominguez

Student in an Organized Health Care Education/Training Program · Roxbury, MA

NPI number 1245683432 Active

Practice location

520 Dudley St
Roxbury, MA 02119-2769

Call (617) 445-6655 Map

Mailing address

52 Orchard St, Apartment 2
Medford, MA 02155-4338

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245683432

Maria Louisa Dominguez's National Provider Identifier is 1245683432, issued on Jul 22, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roxbury, MA. The record was last updated on Jul 22, 2016.