MOISES DOMINGUEZ

PASCO, WA
NPI1083813026
Other NameMOISES DOMINGUEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-07-11
Last Update Date2007-07-11
Business Address
-- MOISES DOMINGUEZ CHW
515 W COURT ST
PASCO, WA 99301
Phone number: 509-547-2204
Mailing Address
-- MOISES DOMINGUEZ CHW
PO BOX 1323
PASCO, WA 99301
Phone number: 509-547-2204