Individual
DR. DOMINIQUE BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10590 CITY CENTER BLVD APT 204, PEMBROKE PINES, FL 33025-4656
(916) 730-1538
Mailing address
10590 CITY CENTER BLVD APT 204, PEMBROKE PINES, FL 33025-4656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11190
FL
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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