Dominique Marie Shaw
ActiveCalifornia license A87149
License
- Licensed by
- Medical Board of California
- License number
- A87149
- Status
- Active (Current)
- First issued
- May 12, 2004
- Expires
- January 31, 2028
- License holder
- Dominique Marie Shaw
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
264 W 118th St # 114
New York, NY 10026-1620
New York, NY 10026-1620
New York County