Individual
DOMINIQUE MIA MUHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
674 MERRIMON AVE STE 101, ASHEVILLE, NC 28804-3586
(828) 348-7418
(828) 348-7419
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07199
NC
363AM0700X
Medical Physician Assistant
012378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012378
NCCPA
NY
Enumeration date
09/03/2008
Last updated
05/15/2023
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