Individual
DOMINICA JOY ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
15384 SPRENGER AVE, EASTPOINTE, MI 48021-3610
(586) 625-9539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704322651
MI
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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