Individual
DOMINIQUE JULIE HERIVEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10201 HAMMOCKS BLVD # 470, SUITE 153, MIAMI, FL 33196-4712
(786) 488-5955
(305) 380-0756
Mailing address
10201 HAMMOCKS BLVD # 470, SUITE 153, MIAMI, FL 33196-4712
(786) 488-5955
(305) 380-0756
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
45010
FL
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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