ALYSSA L. DETOMMASO

FORT WAYNE, IN
NPI1801339791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002198A)
Enumeration Date2016-11-23
Last Update Date2025-09-11
Business Address
-- ALYSSA L. DETOMMASO PA-C
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone number: 260-458-3050
Mailing Address
-- ALYSSA L. DETOMMASO PA-C
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone number: 260-458-3050