Ma Portia Bernadette Guce Domingo, DO Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Mount Vernon, WA

NPI

1700573722

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

License number

OL61440780 (WA)

Sex

Female

Sole proprietor

No

Enumerated

2023-04-19

Last updated

2023-07-12