Organization
SENTINEL
Active
Organization
SENTINEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBREANA M DOMINGUE MBA (OWNER)
(504) 258-6721
Entity
Organization
Contact information
Practice address
3405 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-6144
(504) 258-6721
Mailing address
3405 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-6144
(504) 258-6721
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
13528R
LA
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP07786
LA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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