MICHAEL WILLIAM DOMINISSE

FOLSOM, CA
NPI1962914580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-11-05
Last Update Date2017-11-05
Business Address
Mr. MICHAEL WILLIAM DOMINISSE PA
111 ALVASTON CT
FOLSOM, CA 95630-8614
Phone number: 916-402-7388
Mailing Address
Mr. MICHAEL WILLIAM DOMINISSE PA
111 ALVASTON CT
FOLSOM, CA 95630-8614
Phone number: 916-402-7388
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