Individual
DOMINI MICHELINA PARADISO-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3363 TREMONT RD STE 220, COLUMBUS, OH 43221-2127
(614) 788-0083
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99999
OH
Other
Enumeration date
02/24/2017
Last updated
05/22/2024
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