Individual
ALYSSA NICHOL DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
(866) 886-7824
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
(866) 886-7824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95030493
CA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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