KATHERINE MICHELLE DOMENICI

LOMA LINDA, CA
NPI1487233060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A184269)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A184269)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-02
Last Update Date2025-03-19
Business Address
KATHERINE MICHELLE DOMENICI
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4174
Mailing Address
KATHERINE MICHELLE DOMENICI
11234 ANDERSON STREET GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354-2804
Phone number: