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Search › Washington › 1041C0700X

Olivia Domingo, LSWAIC

NPI 1710590831 · on the registry since 2020

Practice

Address
6103 Mount Tacoma Dr Sw
Lakewood, WA 98499
Phone
(253) 215-7070
Organisation at this address
Avalon Clinic
Avalon Clinic
Avalon Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington