Individual
DAWN DOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 MCGREGOR ST, CATHOLIC MEDICAL CENTER, MANCHESTER, NH 03102
(603) 660-3552
Mailing address
100 MCGREGOR ST, CATHOLIC MEDICAL CENTER, MANCHESTER, NH 03102
(603) 660-3552
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
060426-23
NH
367500000X
Certified Registered Nurse Anesthetist
649413
TX
Other
Enumeration date
07/04/2006
Last updated
10/26/2009
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