Search › West Virginia › 3747P1801X
Tammy Dominguez
NPI 1477332971 · on the registry since 2023
Practice
- Address
- 2299 Right Fork Bull Creek Rd
Crum, WV 25669 - Phone
- (304) 733-1094
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia