Individual
KRISTINE GRACE ZAMORA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4522 DEERMEADOW WAY, ANTIOCH, CA 94531-7144
(925) 316-8544
Mailing address
4522 DEERMEADOW WAY, ANTIOCH, CA 94531-7144
(925) 316-8544
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95220052
CA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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