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Jessica Dominguez
Attendant Care Provider in Fountain Inn, South Carolina
NPI 1285392100

Jessica Dominguez is an Attendant Care Provider based in Fountain Inn, SC and is specialized in Attendant Care Provider. Jessica Dominguez practices in Fountain Inn, SC. The NPI Number for Jessica Dominguez is 1285392100 and holds a License No. (South Carolina).

The current practice location address for Jessica Dominguez is 331 Wilson Bridge Rd, Fountain Inn, SC and can be reached out via phone at 864-436-3332.

Location: 331 Wilson Bridge Rd, Fountain Inn, SC, 29644-9055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285392100
Provider Name
Jessica Dominguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
331 Wilson Bridge Rd, Fountain Inn, SC, 29644-9055
Phone Number
864-436-3332
Fax Number
Provider Enumeration Date
12/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
331 Wilson Bridge Rd
City
Fountain Inn
State
South Carolina
Zip
29644-9055
Phone Number
864-436-3332
Fax Number
person
Provider Business Mailing Address Details
Address
331 Wilson Bridge Rd
City
Fountain Inn
State
South Carolina
Zip
29644-9055
Phone Number
864-436-3332
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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