DOMINIQUE MALL,MD,INC

MARINA DEL REY, CA
NPI1053465062
Entity TypeOrganization
Authorized ContactDOMINIQUE LUCIENNE MALL
President
310-902-8947
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2007-01-23
Last Update Date2011-08-24
Business Address
DOMINIQUE MALL,MD,INC
13911 OLD HARBOR LN #306
MARINA DEL REY, CA 90292-7395
Phone number: 310-577-9547
Mailing Address
DOMINIQUE MALL,MD,INC
13911 OLD HARBOR LN #306
MARINA DEL REY, CA 90292-7395
Phone number: 310-577-9547
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