Individual
DOMINIQUE CHARLES-BOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20295 NW 2ND AVE, SUITE 301, MIAMI GARDENS, FL 33169-2550
(754) 400-0887
Mailing address
20295 NW 2ND AVE, SUITE 301, MIAMI GARDENS, FL 33169-2550
(754) 400-0887
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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