Individual
KRISTIN DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
405 PHARR RD NE, ATLANTA, GA 30305-3200
(404) 231-1872
(404) 231-3346
Mailing address
405 PHARR RD NE, ATLANTA, GA 30305-3200
(404) 231-1872
(404) 231-3346
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008831
GA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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