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Contact Information

RITA G DOMINGUEZ ROMAN, CHW2
6285 ANGORA PEAK LN
LAS VEGAS, NV89115-1662
 Phone: 954-860-3216
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for RITA G DOMINGUEZ ROMAN · (Female)

NPI # 1396521241
Status Active
Credentials CHW2
Entity Individual
Enumeration date 09/06/2023
Last updated 12/05/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 207Q00000X
  • NV Other 193200000X MULTI SPECIALTY-GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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