Individual
DOMINIQUE C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9826 S CHARLES ST, CHICAGO, IL 60643-1206
(773) 896-6015
Mailing address
9826 S CHARLES ST, CHICAGO, IL 60643-1206
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
IL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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