Individual
DOMINIQUE NICOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 W HORIZON RIDGE PKWY APT 1412, HENDERSON, NV 89052-5785
(310) 919-8736
Mailing address
2305 W HORIZON RIDGE PKWY APT 1412, HENDERSON, NV 89052-5785
(310) 919-8736
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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