Individual
DOMINIQUE T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11155 DOLFIELD BLVD STE 110, OWINGS MILLS, MD 21117-3289
(410) 517-2624
Mailing address
11155 DOLFIELD BLVD STE 110, OWINGS MILLS, MD 21117-3289
(410) 517-2624
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
20-0302Y20
MD
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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