Search › Arizona › 323P00000X
Dominique Gist
NPI 1629674742 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8674 S 165th Ave
Goodyear, AZ 85338 - Phone
- (313) 434-6821
- Organisation at this address
- Jca Afc Homes
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 323P00000X
323P00000X
- Also registered as
- 320800000X
251S00000X
324500000X
332800000X - Sex
- Female
- Record last updated
- 2020-12-05
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 Arizona