Individual
MS. ASHLEY DOMINIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
285 N EL CAMINO REAL STE 117, ENCINITAS, CA 92024-5384
(760) 633-1000
(760) 753-8657
Mailing address
910 PRESIDIO AVE APT 4, SAN FRANCISCO, CA 94115-3330
(269) 967-4958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55347
CA
Other
Enumeration date
01/19/2011
Last updated
02/23/2023
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