Jaena Michelle Dominguez, PA-C

NPI #1043942105 in Bedford, Virginia

Provider Information

NPI Number: 1043942105
Entity Type: Individual
Name: Jaena Michelle Dominguez, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 28, 2022
Last Updated: Jun 2, 2025

Practice Location

Address: 1613 OAKWOOD ST
City: Bedford
State: Virginia
ZIP Code: 24523-1213
Phone: (843) 494-8441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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