Individual
MS. CARLY ELIDA DORMINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 N VALENCIA ST, ALHAMBRA, CA 91801-2749
(484) 889-1822
Mailing address
205 N VALENCIA ST, ALHAMBRA, CA 91801-2749
(484) 889-1822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95270322
CA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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