Individual
DENISSE VELA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2364 S 2ND ST, EL CENTRO, CA 92243-9642
(760) 332-1468
Mailing address
2364 S 2ND ST, EL CENTRO, CA 92243-9642
(760) 332-1468
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95409243
CA
164X00000X
Licensed Vocational Nurse
VN277670
CA
Other
Enumeration date
12/13/2021
Last updated
05/13/2025
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