Individual
DOMINIQUE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6407 BOXWOOD ST, BROOKSVILLE, FL 34602-7301
(352) 587-2149
Mailing address
6407 BOXWOOD ST, BROOKSVILLE, FL 34602-7301
(352) 587-2149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5233175
FL
Other
Enumeration date
01/24/2017
Last updated
05/14/2019
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