Individual
DOMINIC MONTABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17488 SLIPPER SHELL WAY, UNIT 15, LEWES, DE 19958-6312
(856) 404-2699
Mailing address
17488 SLIPPER SHELL WAY, UNIT 15, LEWES, DE 19958-6312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0044237
DE
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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