Individual
MR. STANLEY G DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14438 4TH AVE SW, BURIEN, WA 98166-1514
(206) 255-2322
Mailing address
14438 4TH AVE SW, BURIEN, WA 98166-1514
(206) 255-2322
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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