Santa Ann Dominguez, FNP
NPI #1396391397 in Avalon, California
Provider Information
- NPI Number
- 1396391397
- Entity Type
- Individual
- Name
- Santa Ann Dominguez, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 15, 2019
- Last Updated
- Aug 15, 2019
Practice Location
- Address
- 100 FALLS CANYON ROAD
- City
- Avalon
- State
- California
- ZIP Code
- 90704
- Phone
- (310) 510-0096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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