Individual
MRS. DOMINIQUE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 SANDALWOOD DR, ROCHESTER, NY 14616-1515
(585) 300-8660
Mailing address
107 SANDALWOOD DR, ROCHESTER, NY 14616-1515
(585) 300-8660
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NY
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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