Individual
MR. DOMINIQUE K DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 PARKER AVE APT 9, BRADDOCK, PA 15104
(412) 378-8630
Mailing address
700 PARKER AVE, BRADDOCK, PA 15104-1647
(412) 378-8630
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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