Individual
MICHELE LEE DOMINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
MEDMARK TREATMENT CENTER, 1037 COMPASS CIRCLE, GREENSBURG, PA 15601
(724) 834-1144
Mailing address
745 SHAWNEE LN, LIGONIER, PA 15658-3635
(724) 963-2858
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN290055
PA
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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