Individual
CHRISTIE JEAN DOMINIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
21306 SAGE FLOWER CT, HUMBLE, TX 77338-2041
(713) 553-9082
(713) 553-9082
Mailing address
21306 SAGE FLOWER CT, HUMBLE, TX 77338-2041
(713) 553-9082
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
154857
TX
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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