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Individual

MRS. FRENALYN BACATE DOMINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
22040 VAN BUREN ST, GRAND TERRACE, CA 92313
(909) 677-7850
(909) 494-7542
Mailing address
25612 BARTON RD, 335, LOMA LINDA, CA 92354-3110
(909) 709-7941

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 13242
CA

Other

Enumeration date
07/21/2006
Last updated
11/23/2021
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