LORRAINE MAE DOMINICK

UPLAND, CA
NPI1205265931
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA  23698)
Enumeration Date2013-11-04
Last Update Date2013-11-04
Business Address
Mrs. LORRAINE MAE DOMINICK WHNP
1310 SAN BERNARDINO RD
UPLAND, CA 91786-4979
Phone number: 909-579-0806
Mailing Address
Mrs. LORRAINE MAE DOMINICK WHNP
8735 MANDARIN AVE
ALTA LOMA, CA 91701-3368
Phone number: 909-395-7146