Organization
KRISTIN DOMINGUEZ DO PLLC
Active
Other names
Dr. Kristin Dominguez
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN DOMINGUEZ DO (OWNER)
(305) 318-0244
Entity
Organization
Contact information
Practice address
5104 JERICHO RD, COLUMBIA, MD 21044-5410
(305) 318-0244
Mailing address
4380 MONTGOMERY RD STE B, ELLICOTT CITY, MD 21043-6112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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