Individual
ARLENE CAGAMPANG DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
22896 ASPAN ST, LAKE FOREST, CA 92630-2905
(949) 421-8381
Mailing address
22896 ASPAN ST, LAKE FOREST, CA 92630-2905
(949) 421-8381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95022774
CA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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