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Antonio Alberto Dominguez
Student in an Organized Health Care Education/Training Program in Richmond, Virginia
NPI 1063107399

Antonio Alberto Dominguez is a Student in an Organized Health Care Education/Training Program based in Richmond, VA. Antonio Alberto Dominguez practices in Richmond, VA. The NPI Number for Antonio Alberto Dominguez is 1063107399 and holds a License No. (Virginia).

The current practice location address for Antonio Alberto Dominguez is Gme Admin, 1200 East Broad Street, Richmond, VA and can be reached out via phone at 804-828-9783.

Location: Gme Admin, 1200 East Broad Street, Richmond, VA, 23298-0257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063107399
Provider Name
Antonio Alberto Dominguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
Gme Admin, 1200 East Broad Street, Richmond, VA, 23298-0257
Phone Number
804-828-9783
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Gme Admin, 1200 East Broad Street
City
Richmond
State
Virginia
Zip
23298-0257
Phone Number
804-828-9783
Fax Number
person
Provider Business Mailing Address Details
Address
Gme Admin, 1200 East Broad Street
City
Richmond
State
Virginia
Zip
23298-0257
Phone Number
804-828-9783
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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