Individual
DOMINIQUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
210 OAKWOOD ST SE APT 201, WASHINGTON, DC 20032-1754
(214) 502-2277
Mailing address
210 OAKWOOD ST SE APT 201, WASHINGTON, DC 20032-1754
(214) 502-2277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1029278
TX
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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