Individual
DOMINIC LUIS PAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4940 EASTERN AVE # 5, BALTIMORE, MD 21224-2735
(410) 955-4176
Mailing address
5207 DAYBROOK CIR APT 272, ROSEDALE, MD 21237-5068
(410) 955-4176
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R237956
MD
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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