Individual
DOMINIQUE DOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5731 S. SLAWSON AVE STE. 210, CULVER CITY, CA 90230
(310) 215-8900
(310) 215-8907
Mailing address
14335 SHERMAN WAY APT.235, VAN NUYS, CA 91405
(818) 300-9267
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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