NPI Profile for AMANDA L DOMINGUEZ in COLLEGE STATION, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ostomy Care |
163WX1500X | |||
Continence Care |
163WC2100X | |||
Enterostomal Therapy |
163WE0900X | |||
Wound Care |
163WW0000X |
| NPI Number | 1568297265 |
|
| Status | Active | |
| Credentials | RN,CWOCN | |
| Entity | Individual | |
| Enumeration date | 09/04/2024 | |
| Last updated | 09/04/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMANDA L DOMINGUEZ
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