Individual
MISS MAY DOMINGO LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CCNS, ANP
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
3725 W 145TH ST, HAWTHORNE, CA 90250-8452
(310) 676-8497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
509295
CA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
509295
CA
Other
Enumeration date
01/08/2008
Last updated
09/09/2008
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