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MRS. VANESSA DOMUSH WHNP-BC
Obstetrics & Gynecology >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1477922102
Individual Registrant:MRS. VANESSA DOMUSH WHNP-BC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
845 E WILLOW ST SIGNAL HILL, CA 90755-2736 US
Tel: 209-765-9463 Fax: --
Tel: 209-765-9463 Fax: --
Contact information for business:
845 E WILLOW ST SIGNAL HILL, CA 90755-2736 US
Tel: 209-765-9463 Fax: --
Tel: 209-765-9463 Fax: --
Registration Information:
NPI: 1477922102
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LX0001X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Obstetrics & Gynecology | CA | 95003149 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
