Individual
JASON R DOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4835 CORDELL AVE APT 1025, BETHESDA, MD 20814-3165
(907) 201-1069
Mailing address
4835 CORDELL AVE APT 1025, BETHESDA, MD 20814-3165
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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