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Santa Ann Dominguez, FNP
Family Nurse Practitioner in Avalon, California
NPI 1396391397

Santa Ann Dominguez is a Family Nurse Practitioner based in Avalon, CA and is specialized in Family. Santa Ann Dominguez practices in Avalon, CA and has the professional credentials of FNP. The NPI Number for Santa Ann Dominguez is 1396391397 and holds a License No. 95012119 (California).

The current practice location address for Santa Ann Dominguez is 100 Falls Canyon Road, Avalon, CA and can be reached out via phone at 310-510-0096 and via fax at 310-510-2381.

Location: 100 Falls Canyon Road, Avalon, CA, 90704-1563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396391397
Provider Name
Santa Ann Dominguez
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
100 Falls Canyon Road, Avalon, CA, 90704-1563
Phone Number
310-510-0096
Fax Number
310-510-2381
Provider Enumeration Date
08/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Falls Canyon Road
City
Avalon
State
California
Zip
90704
Phone Number
310-510-0096
Fax Number
310-510-2381
person
Provider Business Mailing Address Details
Address
100 Falls Canyon Road
City
Avalon
State
California
Zip
90704
Phone Number
310-510-0096
Fax Number
310-510-2381
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95012119 (California)
Definition
Definition to come...
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