Dominguez Roman, Rita Genoveva

Dominguez Roman, Rita Genoveva is an sole proprietor health care provider with primary practice located at 6285 Angora Peak Ln , Las Vegas NV 89115-1662. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Dominguez Roman, Rita Genoveva can be contacted via phone (954) 860-3216.

Contact Information

Primary practice address
6285 Angora Peak Ln Las Vegas NV 89115-1662
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 207Q00000X Nevada
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1396521241
LBN Legal business name Dominguez Roman, Rita Genoveva
Credentials CHW2
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2023
Last updated Sep 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396521241 NPPES
Nevada Other 193200000X MULTI SPECIALTY-GROUP
Nevada Other 207Q00000X MULTI SPECIALTY-GROUP

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