Jessica Dominowski's National Provider Identifier (NPI) Details
Jessica Dominowski,
NPI: 1104208461
Enumeration Date: 2015-06-23
Last updated: 2015-06-23
Sole Proprietor: NO
Status: active
Postal Address: 3833 CHIPPEWA CT, SIOUX CITY, IA
Phone: 712-301-1889
Primary Practice Address: 421 NEBRASKA ST, SIOUX CITY, IA
Practice's phone: 712-224-2774