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Jordan Domicolo
NPI 1063390821 · on the registry since 2025
Practice
- Address
- 2501 11th St Nw
Washington, DC 20001 - Phone
- (518) 937-8357
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia