Individual
JENNIFER TUMAMAO DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13428 31ST DR SE, MILL CREEK, WA 98012-5643
(206) 779-0770
Mailing address
13428 31ST DR SE, MILL CREEK, WA 98012-5643
(206) 779-0770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60276681
WA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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