Individual
DOMINIQUE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3551 FALSTONE RD, NORTH CHESTERFIELD, VA 23234-3721
(804) 714-4235
Mailing address
3551 FALSTONE RD, NORTH CHESTERFIELD, VA 23234-3721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001267273
VA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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