Most Relevant Information
Provider Data
| NPI Number: | 1003397688 |
| Provider Name: | DOMINIQUE DUBOIS |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA61006160 |
Most Important Dates
| Enumeration Date: | 08/22/2018 |
| Last Updated: | 11/18/2019 |
Provider Practice Location
1959 NE PACIFIC ST
SEATTLE
WA
981950001
Practice Location Phone/Fax
| Phone: | 2065205000 |
| Fax: |
Provider Mailing Location
PO BOX 50095
SEATTLE
WA
981455095
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |