Individual
DOMINIQUE HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 886-6000
Mailing address
2207 RAWOOD DR, HAMPTON, VA 23663-1033
(540) 841-8618
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000999
VA
Other
Enumeration date
11/21/2024
Last updated
11/25/2024
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