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Individual

DOMINIQUE WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
10223 NE 10TH ST, BELLEVUE, WA 98004
(425) 453-3288
(425) 453-5585
Mailing address
10223 NE 10TH ST, BELLEVUE, WA 98004-4279
(425) 453-3288

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019722
WA

Other

Enumeration date
04/07/2009
Last updated
04/07/2009
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