Individual
MS. JENNIFER VEST-DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12317 15TH AVE NE APT 103, SEATTLE, WA 98125-4873
(305) 761-7175
Mailing address
2310 11TH AVE E, SEATTLE, WA 98102-4014
(305) 761-7175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00055555
WA
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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