Individual
ALEXIS N DOMINIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 S 7TH AVE STE 3170, WEST READING, PA 19611-1494
(484) 628-9386
Mailing address
301 S 7TH AVE STE 3170, WEST READING, PA 19611-1494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064016
PA
363A00000X
Physician Assistant
OA006312
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041308570020
—
PA
Enumeration date
11/08/2022
Last updated
07/14/2026
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