Individual
ELIZABETH DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7205 265TH ST NW, STANWOOD, WA 98292-6221
(360) 629-1500
(360) 629-1513
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA18342
TX
363A00000X
Physician Assistant
Primary
PA70059069
WA
Other
Enumeration date
08/21/2024
Last updated
05/13/2026
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