Individual
DOMINIQUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4919 CANAL ST, NEW ORLEANS, LA 70119-5848
(504) 483-9883
Mailing address
4919 CANAL ST, NEW ORLEANS, LA 70119-5848
(504) 483-9883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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