Individual
DOMINQUE DEMETREA CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 WATKINS DR, LAS VEGAS, NV 89107-1052
(410) 948-6302
Mailing address
516 WATKINS DR, LAS VEGAS, NV 89107-1052
(410) 948-6302
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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