Individual provider · Type 1 NPI

Georgina Dominique

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1972246080 Active

Practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3075

Call (310) 825-6373 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972246080

Georgina Dominique's National Provider Identifier is 1972246080, issued on Apr 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 16, 2022.