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Individual

MARIA DOLORES DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2107 S 7TH AVE, UNION GAP, WA 98903-1318
(509) 594-9907
Mailing address
2107 S 7TH AVE, UNION GAP, WA 98903-1318
(509) 594-9907

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
605100967
WA

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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