Individual
MRS. MELISSA CORRAL DOMENECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
741 N AVALON RD STE B, WINSTON SALEM, NC 27104-1069
(336) 660-6015
Mailing address
741 N AVALON RD STE B, WINSTON SALEM, NC 27104-1069
(336) 660-6015
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102376
NC
Other
Enumeration date
08/16/2005
Last updated
12/30/2025
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