| Kristin Dominguez Do Pllc | |
|
5104 Jericho Rd Columbia MD 21044-5410 | |
| (305) 318-0244 | |
| Not Available |
| Full Name | Kristin Dominguez Do Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5104 Jericho Rd, Columbia, Maryland |
| Authorized Official Name and Position | Kristin Dominguez (OWNER) |
| Authorized Official Contact | 3053180244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Dominguez Do Pllc 4380 Montgomery Rd Ste B Ellicott City MD 21043-6112 Ph: () - | Kristin Dominguez Do Pllc 5104 Jericho Rd Columbia MD 21044-5410 Ph: (305) 318-0244 |
| NPI Number | 1386428472 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386428472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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