person
Mr. Nevan Dominguez, ATC
Student in an Organized Health Care Education/Training Program in Kansas City, Missouri
NPI 1235581927

Nevan Dominguez is a Student in an Organized Health Care Education/Training Program based in Rio Rancho, MO. Nevan Dominguez practices in Kansas City, MO and has the professional credentials of ATC. The NPI Number for Nevan Dominguez is 1235581927 and holds a License No. (Missouri).

The current practice location address for Nevan Dominguez is 1 Royal Way, Kansas City, MO and can be reached out via phone at 505-250-1464.

Location: 1 Royal Way, Kansas City, MO, 87124-8714
person
Provider Profile Details
NPI Number
1235581927
Provider Name
Nevan Dominguez
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
1 Royal Way, Kansas City, MO, 87124-8714
Phone Number
505-250-1464
Fax Number
Provider Enumeration Date
07/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Royal Way
City
State
Zip
64129-1695
Phone Number
505-250-1464
Fax Number
person
Provider Business Mailing Address Details
Address
1 Royal Way
City
State
Zip
64129-1695
Phone Number
505-250-1464
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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