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MRS. VANESSA DOMUSH WHNP-BC

Obstetrics & Gynecology >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1477922102

Individual Registrant:
MRS. VANESSA  DOMUSH WHNP-BC
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: --

Contact information for business:
845 E WILLOW ST  SIGNAL HILL, CA 90755-2736 US
Tel: 209-765-9463  Fax: --

Registration Information:
NPI: 1477922102
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LX0001XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Obstetrics & Gynecology
CA95003149

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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