Individual
DOMINIQUE DUVERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9045 BRUCEVILLE RD, ELK GROVE, CA 95758-5948
(916) 479-9110
Mailing address
10725 SUNRISE RIDGE CIR, AUBURN, CA 95603-6041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95222068
CA
363LF0000X
Family Nurse Practitioner
Primary
95021421
CA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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