Individual
MARIA GRACE DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
180 E HAMPDEN AVE STE 100, ENGLEWOOD, CO 80113-2517
(303) 789-4968
Mailing address
5798 S GALLUP ST APT 105, LITTLETON, CO 80120-2134
(303) 587-1107
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
1633033
CO
367A00000X
Advanced Practice Midwife
Primary
APN.0993226-CNM
CO
Other
Enumeration date
05/17/2017
Last updated
08/06/2017
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