Individual
DOMONIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
(513) 686-5446
Mailing address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.023148
OH
207R00000X
Internal Medicine Physician
DR.0057627
CO
Other
Enumeration date
10/28/2013
Last updated
01/06/2017
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