MARIAH PAZ DOMINGUEZ

GRAND RAPIDS, MI
NPI1235606518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  9111654)
Enumeration Date2018-10-25
Last Update Date2022-06-07
Business Address
MARIAH PAZ DOMINGUEZ PA-C
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-8602
Phone number: 616-272-3533
Mailing Address
MARIAH PAZ DOMINGUEZ PA-C
103 S JACKSON ST STE 200
JACKSON, MI 49201-2211
Phone number: 517-212-9000