ILIANA DOMINGUEZ

LOS ANGELES, CA
NPI1932728821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95013270)
Enumeration Date2020-04-11
Last Update Date2021-11-11
Business Address
ILIANA DOMINGUEZ FNP
711 W COLLEGE ST STE 205
LOS ANGELES, CA 90012-1093
Phone number: 323-973-3273
Mailing Address
ILIANA DOMINGUEZ FNP
4225 DUANE WAY
SOUTH GATE, CA 90280-4903
Phone number: 323-973-3273
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