Individual
MRS. CHERYL D DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
220 S JEFFERSON ST, ABBEVILLE, LA 70510-5906
(337) 898-5813
(337) 898-5816
Mailing address
102 CLAIR DR, KAPLAN, LA 70548-5525
(337) 643-1796
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN071470
LA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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