Individual
DOMINIQUE LAMONT NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(757) 966-7066
Mailing address
PO BOX 9610, HAMPTON, VA 23670-0610
(757) 969-3250
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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