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Ms. Wanda Inez Dominic, LPN
Licensed Practical Nurse in Baltimore, Maryland
NPI 1811180474

Wanda Inez Dominic is a Licensed Practical Nurse based in Baltimore, MD. Wanda Inez Dominic practices in Baltimore, MD and has the professional credentials of LPN. The NPI Number for Wanda Inez Dominic is 1811180474 and holds a License No. LP40543 (Maryland).

The current practice location address for Wanda Inez Dominic is 1918 Druid Hill Ave, Baltimore, MD and can be reached out via phone at 443-872-3533 and via fax at 443-872-3533.

Location: 1918 Druid Hill Ave, Baltimore, MD, 21217-3502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811180474
Provider Name
Wanda Inez Dominic
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1918 Druid Hill Ave, Baltimore, MD, 21217-3502
Phone Number
443-872-3533
Fax Number
443-872-3533
Provider Enumeration Date
08/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1918 Druid Hill Ave
City
Baltimore
State
Maryland
Zip
21217-3502
Phone Number
443-872-3533
Fax Number
443-872-3533
person
Provider Business Mailing Address Details
Address
1918 Druid Hill Ave
City
Baltimore
State
Maryland
Zip
21217-3502
Phone Number
443-872-3533
Fax Number
443-872-3533
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP40543 (Maryland)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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