Search › Ohio › 104100000X
Selena Dominguez
NPI 1568352441 · on the registry since 2025
Practice
- Address
- 1084 S Main St Ste A
Bowling Green, OH 43402 - Phone
- (419) 352-4624
- Fax
- (419) 936-7606
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio