Individual
EILEEN JOY DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35105 ENCHANTED PKWY S STE G101, FEDERAL WAY, WA 98003-8379
(833) 411-5469
Mailing address
35105 ENCHANTED PKWY S, FEDERAL WAY, WA 98003-8379
(833) 411-5469
(855) 459-3020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL60561517
WA
207Q00000X
Family Medicine Physician
Primary
OP60765124
WA
Other
Enumeration date
08/14/2014
Last updated
03/10/2023
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