LAURA LIDIA DOMINGUEZ

SANTA MARIA, CA
NPI1184196719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95010540)
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
LAURA LIDIA DOMINGUEZ NP
361 TOWN CTR W
SANTA MARIA, CA 93458-5076
Phone number: 805-922-6581
Mailing Address
LAURA LIDIA DOMINGUEZ NP
735 SAGE CREST DR
SANTA MARIA, CA 93455-8004
Phone number: 559-310-4506