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Joanne Domingo
Family Nurse Practitioner in La Quinta, California
NPI 1780301382

Joanne Domingo is a Family Nurse Practitioner based in Indio, CA and is specialized in Family. Joanne Domingo practices in La Quinta, CA. The NPI Number for Joanne Domingo is 1780301382 and holds a License No. 95022243 (California).

The current practice location address for Joanne Domingo is 79440 Corporate Center Dr Ste 108, La Quinta, CA and can be reached out via phone at 760-564-0902.

Location: 79440 Corporate Center Dr Ste 108, La Quinta, CA, 92201-8714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780301382
Provider Name
Joanne Domingo
Credential
Provider Entity Type
Individual
Gender
Female
Address
79440 Corporate Center Dr Ste 108, La Quinta, CA, 92201-8714
Phone Number
760-564-0902
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
79440 Corporate Center Dr Ste 108
City
La Quinta
State
California
Zip
92253-7243
Phone Number
760-564-0902
Fax Number
person
Provider Business Mailing Address Details
Address
79440 Corporate Center Dr Ste 108
City
La Quinta
State
California
Zip
92253-7243
Phone Number
760-564-0902
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95022243 (California)
Definition
Definition to come...
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