Individual
DOMONIQUE DOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-9949
Mailing address
1928 PARKWOOD RD, CHARLESTON, WV 25314-2242
(812) 820-6362
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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