Individual
MICHELLE LYNN DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 LINCOLN ST, SITKA, AK 99835-7651
(907) 738-9939
Mailing address
805 LINCOLN ST, SITKA, AK 99835-7651
(907) 738-9939
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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