Individual
ASTON DOMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-7136
Mailing address
1620 12TH ST S APT D, BIRMINGHAM, AL 35205-5929
(717) 269-7234
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
3013
AL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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