Individual
CZARINA CHER LAPUS DOMANTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Mailing address
12082 MARLOWE DR, GARDEN GROVE, CA 92841-3422
(714) 797-6235
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
706333
CA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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