Individual
DOMINIQUE BONNEGUE EGALITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
961 SIESTA DR, HAVERHILL, FL 33415-1312
(561) 839-0478
(561) 337-9025
Mailing address
961 SIESTA DR, HAVERHILL, FL 33415-1312
(561) 839-0478
(561) 337-9025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
FL
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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