Arana-Domondon, Ladie C

Arana-Domondon, Ladie C is an individual health care provider with primary practice located at 118 7Th Ave Sw Suite A, Puyallup WA 98371-6803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Arana-Domondon, Ladie C can be contacted via phone (253) 579-0067.

Contact Information

Primary practice address
118 7Th Ave Sw Suite A Puyallup WA 98371-6803
Fax: (253) 579-0068
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00034362 Washington

Profile Details

NPI number 1306819412
LBN Legal business name Arana-Domondon, Ladie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated May 13th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306819412 NPPES
Washington Other CO3401 MEDICARE OTHER-GROUP
Washington Other 110149928 MEDICARE OTHER-GROUP
Washington Other 193400000X MEDICARE OTHER-GROUP
Washington MEDICAID 8209611 MEDICARE OTHER-GROUP
Washington Other MD00034362 MEDICARE OTHER-GROUP

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