person
Elizabeth Diane Dominguez
Student in an Organized Health Care Education/Training Program in Wauwatosa, Wisconsin
NPI 1003506007

Elizabeth Diane Dominguez is a Student in an Organized Health Care Education/Training Program based in Wauwatosa, WI. Elizabeth Diane Dominguez practices in Wauwatosa, WI. The NPI Number for Elizabeth Diane Dominguez is 1003506007 and holds a License No. (Wisconsin).

The current practice location address for Elizabeth Diane Dominguez is 9200 W Wisconsin Ave, Wauwatosa, WI and can be reached out via phone at 414-805-0505.

Location: 9200 W Wisconsin Ave, Wauwatosa, WI, 53226-3522
person
Provider Profile Details
NPI Number
1003506007
Provider Name
Elizabeth Diane Dominguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Wauwatosa, WI, 53226-3522
Phone Number
414-805-0505
Fax Number
Provider Enumeration Date
05/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-0505
Fax Number
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-0505
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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