DOMENIQUE DICELLO WARD

JEFFERSON HILLS, PA
NPI1548772460
Former NameDOMENIQUE DARA DICELLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: PA  MA059553)
Enumeration Date2017-11-01
Last Update Date2022-05-11
Business Address
DOMENIQUE DICELLO WARD PA-C
1200 BROOKS LN STE 170
JEFFERSON HILLS, PA 15025-3759
Phone number: 412-469-7110
Mailing Address
DOMENIQUE DICELLO WARD PA-C
5028 SHERWOOD RD
BETHEL PARK, PA 15102-2024
Phone number:
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