Individual
DORIS DOMINGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARDMS
Contact information
Practice address
130 GRASSHOPPER LN, GREENTOWN, PA 18426-7449
(570) 814-3009
Mailing address
130 GRASSHOPPER LN, GREENTOWN, PA 18426-7449
(570) 814-3009
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
4066
PA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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