Individual
MS. GABRIELLE DOMINY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
540 NJ-10, RANDOLPH, NJ 07869
(551) 290-3085
Mailing address
540 NJ-10, RANDOLPH, NJ 07869
(609) 507-2103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
Other
Enumeration date
11/24/2025
Last updated
01/07/2026
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