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NPI Code Detail

MEDICARE: THAIS K NARVAEZ-DOMINGUEZ RMA

MEDICARE: THAIS K NARVAEZ-DOMINGUEZ RMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1356837884
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAIS K NARVAEZ-DOMINGUEZ RMA
Provider Business Mailing Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number : 419-725-3330
Fax Number :
Provider Business Practice Location Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number : 419-725-3330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 05/04/2026

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Directions to “ THAIS K NARVAEZ-DOMINGUEZ RMA” Practice Location

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