Individual
DIANNA DOMINGUEZ
Active
Individual
DIANNA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN# 846987
CA
163WC1500X
Community Health Registered Nurse
RN# 846987
CA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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