Individual
EDEN DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
39500 LIBERTY STREET, TRI CITY HEALTH CENTER, FREMONT, CA 94538
(510) 770-8133
(510) 770-8140
Mailing address
38053 BUXTON COMMON, FREMONT, CA 94536
(510) 745-7632
(510) 713-6682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
504673
CA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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