Individual
MRS. JANELLE D DOMINIQUE
Active
Individual
MRS. JANELLE D DOMINIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN2279873
MA
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN2279873
MA
163WP1700X
Perinatal Registered Nurse
RN2279873
MA
174H00000X
Health Educator
RN2279873
MA
374J00000X
Doula
RN2279873
MA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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