Individual
MRS. LOVELYN CALUYA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1000
Mailing address
3527 FIELDCREEK WAY, PARKVILLE, MD 21234-3411
(443) 519-9027
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R156404
MD
363LG0600X
Gerontology Nurse Practitioner
R156404
MD
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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