NOEL DOMINGUEZ
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1932584737- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1455 3RD AVE, SAN BERNARDINO, CA, 924080218
- Phone
- (909) 382-7100
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: CA #95002720