Individual
DOMINIQUE LOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ESTHETICIAN
Contact information
Practice address
486 N MAIN ST STE 35, ROYAL OAK, MI 48067-1813
(248) 733-3588
Mailing address
486 N MAIN ST STE 35, ROYAL OAK, MI 48067-1813
(248) 733-3588
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2705016900
MI
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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