Individual
TINA DOMBROSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1309 SAVANNAH RD, SUITE B, LEWES, DE 19958-1514
(302) 645-6698
(302) 645-4505
Mailing address
PO BOX 472, LEWES, DE 19958-0472
(302) 645-6698
(302) 645-4505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000405
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000024043
—
DE
Enumeration date
08/18/2005
Last updated
07/08/2007
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