Individual
CARMYLL REGINE DOMINGUEZ CUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(424) 306-5077
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(424) 306-5077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016355
CA
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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