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Individual

DOMINIC NEVIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4480 GENERAL DEGAULLE DR STE 119, 802 WOODLAND DRIVE, NEW ORLEANS, LA 70131-6941
(504) 298-1001
Mailing address
4480 GENERAL DEGAULLE DR STE 119, 802 WOODLAND DRIVE, NEW ORLEANS, LA 70131-6941
(504) 298-1001

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
131524
LA

Other

Enumeration date
09/12/2016
Last updated
09/12/2016
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