Individual
ERICA LEIGH DOMONOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W BROADWAY STE 202, WILLISTON, ND 58801-6056
(701) 965-6521
Mailing address
110 W BROADWAY STE 202, WILLISTON, ND 58801-6056
(701) 965-6521
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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