MICHELLE MAE DOMINGO

SOUTH GATE, CA
NPI1457660391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  52600)
Enumeration Date2010-09-27
Last Update Date2015-06-23
Business Address
-- MICHELLE MAE DOMINGO
4075 TWEEDY BLVD
SOUTH GATE, CA 90280-6146
Phone number: 323-566-4111
Mailing Address
-- MICHELLE MAE DOMINGO
4075 TWEEDY BLVD
SOUTH GATE, CA 90280-6146
Phone number: 323-566-4111