Individual
SARAH ANN DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
(573) 681-3100
Mailing address
2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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