TINA L. R. DOMINGUEZ PA-C, MMS
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1922305671- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C, MMS
- Status
- Active
Contact & Location
- Address
- 2305 CAMINO RAMON STE 225, SAN RAMON, CA, 945831394
- Phone
- (253) 471-4509
- Fax
- (925) 347-1454
Specialties & Taxonomies
Allergy & Immunology, Allergy
License: CA #PA21463
Physician Assistant
Primary License: CA #PA21463