DOMINIQUE STAY TECKLENBURG

OREM, UT
NPI1639877475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-02-21
Last Update Date2023-02-21
Business Address
DOMINIQUE STAY TECKLENBURG PA-C
435 S 660 W
OREM, UT 84058-6078
Phone number: 801-691-4980
Mailing Address
DOMINIQUE STAY TECKLENBURG PA-C
435 S 660 W
OREM, UT 84058-6078
Phone number: