Individual
JOCELYN CARMELLA DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2580 HAYMAKER RD STE 106, MONROEVILLE, PA 15146-3500
(412) 858-7766
Mailing address
2580 HAYMAKER RD STE 106, MONROEVILLE, PA 15146-3500
(412) 858-7766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059121
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14245942
CAQH
—
Enumeration date
05/25/2017
Last updated
10/01/2020
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