Individual
ADRIAN S DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3853 ROSECRANS STREET, SAN DIEGO, CA 92110-3886
(619) 692-8232
Mailing address
3853 ROSECRANS STREET, SAN DIEGO, CA 92110-3886
(619) 692-8232
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN242682
CA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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