DOMINIQUE M. LY

GILROY, CA
NPI1821151143
Former NameMAITHAO KHANH DINH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP 15986)
Enumeration Date2006-12-18
Last Update Date2007-07-25
Business Address
Mrs. DOMINIQUE M. LY FNP
7933 WREN AVE SUITE D
GILROY, CA 95020-4996
Phone number: 408-847-1739
Mailing Address
Mrs. DOMINIQUE M. LY FNP
1691 THE ALAMEDA
SAN JOSE, CA 95126-2203
Phone number: 408-287-7532
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