Individual
DR. DOMONIQUE M DETRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
125 E OTTERMAN ST, GREENSBURG, PA 15601-2509
(724) 838-7700
(724) 838-7200
Mailing address
125 E OTTERMAN ST, GREENSBURG, PA 15601-2509
(724) 838-7700
(724) 838-7200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007066L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01664678
—
PA
Enumeration date
12/20/2005
Last updated
07/08/2007
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