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

Kristen Dominguez

Individual provider Licensed Vocational Nurse · NPI 1205663895

Kristen Dominguez is a Licensed Vocational Nurse in Stockton, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

4545 Georgetown Pl Ste D
Stockton, CA 95207-6229
Phone: (209) 981-4053
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 721186 (CA)

Record details

NPI number1205663895
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address4545 Georgetown Pl Ste D, Stockton, CA 95207-6229

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