Individual
DOMINIQUE THIGPENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3746 LINCOLN RD, LAS VEGAS, NV 89115-0391
(310) 808-4561
Mailing address
3746 LINCOLN RD, LAS VEGAS, NV 89115-0391
(310) 808-4561
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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