Individual
MISS DOMINIQUE DOCKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SUMMIT VIEW DRIVE, WESTMINSTER, MD 21158
(443) 789-1225
Mailing address
475 SUMMIT VIEW DRIVE, WESTMINSTER, MD 21158
(443) 789-1225
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/06/2019
Last updated
12/07/2021
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