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Individual

MISS DOMAINLOR CABADING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
12105 ALLEGHENY ST, SUN VALLEY, CA 91352
(951) 733-7993
Mailing address
5802 N VISTA ST, SAN GABRIEL, CA 91775-3071

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
95078043
CA
163WC1500X
Community Health Registered Nurse
556677
CA

Other

Enumeration date
08/12/2022
Last updated
08/12/2022
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