MA PORTIA BERNADETTE GUCE DOMINGO

MOUNT VERNON, WA
NPI1700573722
Other NamePHOEBE DOMINGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  OL61440780)
Enumeration Date2023-04-19
Last Update Date2023-07-12
Business Address
MA PORTIA BERNADETTE GUCE DOMINGO DO
819 S 13TH ST
MOUNT VERNON, WA 98274-4112
Phone number: 360-814-6230
Mailing Address
MA PORTIA BERNADETTE GUCE DOMINGO DO
1400 E KINCAID ST
MOUNT VERNON, WA 98274-4127
Phone number: