Individual
DR. KRISTINA DOMINGUEZ GLORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9605 SANDIFUR PARKWAY, KADLEC CLINIC - PASCO PRIMARY CARE, PASCO, WA 99301
(509) 942-3170
(509) 543-9795
Mailing address
800 SWIFT BLVD, SUITE 300, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60403068
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598955023
—
WA
Enumeration date
07/31/2007
Last updated
05/20/2021
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