Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Bazanos, LIFESTYLECOACH

Individual provider Community Health Registered Nurse · NPI 1407624711

Dominique Bazanos, LIFESTYLECOACH is a Community Health Registered Nurse in Redlands, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

350 Terracina Blvd Education Dept
Redlands, CA 92373
Phone: (909) 335-5501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Registered Nurse (primary) Taxonomy 163WC1500X · Licence 732807 (CA)

Record details

NPI number1407624711
Entity typeIndividual (Type 1)
GenderFemale
Credentials LIFESTYLECOACH
Sole proprietorNo
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 14, 2023

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