Individual
MS. DOMINIQUE CHRISTINA KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1505 W SHERMAN AVE STE 112, VINELAND, NJ 08360-7059
(856) 641-7920
(856) 641-7915
Mailing address
1715 COUNTRY BRIDGE RD, MILLVILLE, NJ 08332-1114
(609) 364-6826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00421800
NJ
364SX0200X
Oncology Clinical Nurse Specialist
25MP00421800
NJ
Other
Enumeration date
02/05/2017
Last updated
01/30/2024
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