Tina L. R. Dominguez, PA-C, MMS
NPI #1922305671 in San Ramon, California
Provider Information
- NPI Number
- 1922305671
- Entity Type
- Individual
- Name
- Tina L. R. Dominguez, PA-C, MMS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C, MMS
- Enumeration Date
- Feb 15, 2011
- Last Updated
- Mar 6, 2020
Practice Location
- Address
- 2305 CAMINO RAMON STE 225
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-1394
- Phone
- (253) 471-4509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology - Allergy — Allergy |
| Physician Assistant |
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