Individual
ROSALIA R DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ST. JAMES & THIRD ST, SUITE 103A, MANSFIELD, PA 16933
(570) 662-7600
(570) 662-7726
Mailing address
ST. JAMES & THIRD ST, SUITE 103A, MANSFIELD, PA 16933
(570) 662-7600
(570) 662-7726
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
28268
TN
2084P0800X
Psychiatry Physician
Primary
MD057363L
PA
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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