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LAURA CASTILLO-DOMINGUEZ LVN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1174185318

Individual Registrant:
 LAURA  CASTILLO-DOMINGUEZ LVN
Gender: F
Sole Proprietor

Location and contact information for practice:
83113 LOS CABOS AVE  COACHELLA, CA 92236 US
Tel: 760-835-1245  Fax: --

Contact information for business:
83113 LOS CABOS AVE  COACHELLA, CA 92236 US
Tel: 760-835-1245  Fax: --

Registration Information:
NPI: 1174185318
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CAVN694150

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE164X00000XCA01




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