MS. WANDA INEZ DOMINIC LPN NPI 1811180474

NPI Information

MS. Wanda Inez Dominic, LPN is a licensed practical nurse in Baltimore, MD. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MS. Wanda Inez Dominic, LPN NPI is 1811180474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1918 DRUID HILL AVE
BALTIMORE, MD
ZIP 21217-502
Phone: (443) 872-3533
Fax: (443) 872-3533

The enumeration date for this NPI number is 8/27/2007 and was last updated on 8/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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