Dominguez, Mara J

Dominguez, Mara J is an individual health care provider with primary practice located at 2740 Bensley Commons Blvd , North Chesterfield VA 23237-1723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dominguez, Mara J can be contacted via phone (804) 780-0840.

Contact Information

Primary practice address
2740 Bensley Commons Blvd North Chesterfield VA 23237-1723
Phone: (804) 780-0840
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024172699 Virginia

Profile Details

NPI number 1700268745
LBN Legal business name Dominguez, Mara J
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2015
Last updated Jun 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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