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Organization
RN STAFF
Active
Organization
RN STAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN DOMINGO RN (ICU NURSE)
(808) 341-8552
Entity
Organization
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(808) 341-8552
Mailing address
1610 KANUNU ST APT 301, HONOLULU, HI 96814-2701
(808) 341-8552
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
—
NULL
163WC0200X
Critical Care Medicine Registered Nurse
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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