Individual
MS. DOMINIQUE B JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
546 N UNION ST, LOUDONVILLE, OH 44842-1040
(419) 207-2429
Mailing address
10 WILERS GRV, RITTMAN, OH 44270-1823
(419) 207-2429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APRN.CNP.023773
—
OH
Enumeration date
01/21/2020
Last updated
01/21/2020
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