Individual
SHELLEY CHRISTINE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NAC
Contact information
Practice address
456 C ST, BLAINE, WA 98230-4238
(951) 332-8836
Mailing address
456 C ST, BLAINE, WA 98230-4238
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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