Individual
DAVID DOMMERMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 NW DONCEE DR, BREMERTON, WA 98311-9161
(360) 621-3828
Mailing address
172 NW DONCEE DR, BREMERTON, WA 98311-9161
(360) 621-3828
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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