Individual
MRS. DOMINIQUE THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
8820 CARMINE COB AVE, LAS VEGAS, NV 89178-5716
(504) 300-2685
Mailing address
8820 CARMINE COB AVE, LAS VEGAS, NV 89178-5716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
846463
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/29/2026
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