Individual
DOMINIQUE ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1603 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1019
(215) 242-2439
(215) 242-2596
Mailing address
1603 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1019
(215) 242-2439
(215) 242-2596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00317800
NJ
363A00000X
Physician Assistant
Primary
MA056503
PA
Other
Enumeration date
11/04/2013
Last updated
06/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us