Individual
DANIELLE DOMINGUEZ-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CREEKSIDE DR UNIT 232, SAN MARCOS, CA 92078-2352
(619) 715-5288
Mailing address
11 CREEKSIDE DR UNIT 232, SAN MARCOS, CA 92078-2352
(619) 715-5288
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
702137
CA
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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