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Mrs. Dominique M. Ly, FNP
Family Nurse Practitioner in Gilroy, California
NPI 1821151143

Dominique M. Ly is a Family Nurse Practitioner based in San Jose, CA and is specialized in Family. Dominique M. Ly practices in Gilroy, CA and has the professional credentials of FNP. The NPI Number for Dominique M. Ly is 1821151143 and holds a License No. NP 15986 (California).

The current practice location address for Dominique M. Ly is 7933 Wren Ave, Gilroy, CA and can be reached out via phone at 408-847-1739 and via fax at 408-847-5146.

Location: 7933 Wren Ave, Gilroy, CA, 95126-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821151143
Provider Name
Dominique M. Ly
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
7933 Wren Ave, Gilroy, CA, 95126-2203
Phone Number
408-847-1739
Fax Number
408-847-5146
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7933 Wren Ave
City
Gilroy
State
California
Zip
95020-4996
Phone Number
408-847-1739
Fax Number
408-847-5146
person
Provider Business Mailing Address Details
Address
7933 Wren Ave
City
Gilroy
State
California
Zip
95020-4996
Phone Number
408-847-1739
Fax Number
408-847-5146
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP 15986 (California)
Definition
Definition to come...
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