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Individual

ROSA DOMINICIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8269
(484) 628-5163
Mailing address
PO BOX 13579, READING, PA 19612-3579

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN598729
PA

Other

Enumeration date
12/04/2019
Last updated
12/04/2019
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