Organization
COUNTY OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET DOMINGUEZ RN (PUBLIC HEALTH NURSE SUPERVISOR)
(858) 694-5428
Entity
Organization
Contact information
Practice address
6950 LEVANT ST, SAN DIEGO, CA 92111-6010
(858) 694-5428
(858) 694-5375
Mailing address
1756 ESSEX ST, #312, SAN DIEGO, CA 92103-3655
(619) 297-2797
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
564293
CA
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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