Individual
DOMINIQUE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
401 OLD PLEASANT GROVE RD APT 427, MOUNT JULIET, TN 37122-3995
(615) 870-8685
Mailing address
212 BABB DR, LEBANON, TN 37087-4884
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
0000003856
TN
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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