Individual
DOMINIQUE FLUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 CANYON CREST DR, RIVERSIDE, CA 92507-6301
(951) 248-8675
Mailing address
5225 CANYON CREST DR, RIVERSIDE, CA 92507-6301
(951) 248-8675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95231418
CA
164X00000X
Licensed Vocational Nurse
258994
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038965
CA
Other
Enumeration date
07/19/2018
Last updated
05/01/2026
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