Individual
DOMINIQUE DIONNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4550
Mailing address
2291 NW 57TH ST, MIAMI, FL 33142-7864
(305) 898-1323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59328
FL
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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