| Candice Leann Dominguez, | |
|
40936 E County Road 1230, Keota, OK 74941-6439 | |
| (918) 471-8936 | |
| Not Available |
| Full Name | Candice Leann Dominguez |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 40936 E County Road 1230, Keota, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023362142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1-14-12 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Leann Dominguez, 40936 E County Road 1230, Keota, OK 74941-6439 Ph: (918) 471-8936 | Candice Leann Dominguez, 40936 E County Road 1230, Keota, OK 74941-6439 Ph: (918) 471-8936 |
Mary Elizabeth Quirk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20227 N County Road 4545 Unit A, Keota, OK 74941 Phone: 918-471-3223 | |
Marcia Lynn Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14900 J St, Keota, OK 74941 Phone: 918-966-3246 | |
Vicki Gilstrap, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40178 S Cr 4550 Rd., Keota, OK 74941 Phone: 918-966-3731 | |
Mrs. Amy Beth Adams, M.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 21578 E County Road 1175, Keota, OK 74941 Phone: 918-647-7613 |