Individual
KARLEY ELIZABETH DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2031 AUDUBON AVE, THIBODAUX, LA 70301-5073
(985) 803-8383
Mailing address
3860 HIGHWAY 308, NAPOLEONVILLE, LA 70390-8731
(985) 513-4186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
229433
LA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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