SAMUEL DOMINGO

ROSEVILLE, CA
NPI1063254910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95029993)
Enumeration Date2024-06-11
Last Update Date2024-06-11
Business Address
Mr. SAMUEL DOMINGO MSN, FNP
1528 EUREKA RD
ROSEVILLE, CA 95661-3047
Phone number: 916-772-5325
Mailing Address
Mr. SAMUEL DOMINGO MSN, FNP
301 GIBSON DR APT 2626
ROSEVILLE, CA 95678-5416
Phone number: 657-272-9586