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Individual

RACHEL I SIGEL DOMENICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
5047 GERRARDSTOWN RD STE 2A, INWOOD, WV 25428-3951
(304) 229-2273
Mailing address
2500 FOUNDATION WAY, MARTINSBURG, WV 25401-9000
(304) 264-9202
(304) 264-9042

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024164223
VA
363LF0000X
Family Nurse Practitioner
Primary
41872
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810019769
WV
Enumeration date
01/12/2006
Last updated
02/20/2015
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