Individual
SHARA DOMINIC SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 VILLAGE DR SW, WYOMING, MI 49509-5133
(616) 780-7121
Mailing address
5220 VILLAGE DR SW, WYOMING, MI 49509-5133
(616) 780-7121
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/28/2025
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