Individual
DOMINIQUE DILEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8000
Mailing address
RR 4 BOX 4378, MOSCOW, PA 18444-9278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064786
PA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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