Individual
MARIA CECILIA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
DUMC 3458, DURHAM, NC 27710-0001
(919) 681-2425
Mailing address
DUMC 3458, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5007453
NC
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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