Individual
JAENA MICHELLE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1613 OAKWOOD ST, BEDFORD, VA 24523-1213
(843) 494-8441
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-008657
VA
363A00000X
Physician Assistant
Primary
5849
SC
Other
Enumeration date
06/28/2022
Last updated
06/02/2025
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