Individual
SAMIRA DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
91-1101 KAIMALIE ST APT 2T2, EWA BEACH, HI 96706-5052
(916) 743-1005
Mailing address
91-1101 KAIMALIE ST APT 2T2, EWA BEACH, HI 96706-5052
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
846436
CA
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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