Individual
MR. DOMINIC DALATEN LOMIBAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
340 4TH AVE STE 14, CHULA VISTA, CA 91910-3813
(619) 303-3681
Mailing address
9360 MONONA DR, LA MESA, CA 91942-3910
(619) 303-3681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95013019
CA
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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