Individual
JAIME DAVID DOMINGUEZ-CESPEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
908 10TH AVE SW, QUINCY, WA 98848-1376
(509) 787-3531
(509) 787-2016
Mailing address
908 10TH AVE SW, QUINCY, WA 98848-1376
(509) 787-3531
(509) 787-2016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00049366
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237692
LABOR & INDUSTRIES
WA
05
—
8517237
—
WA
01
—
8947901
CV
WA
Enumeration date
04/26/2007
Last updated
07/12/2011
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