Individual
MRS. DOMINIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
1701 N GREEN VALLEY PKWY STE 9A, HENDERSON, NV 89074-5991
(702) 407-1100
Mailing address
9225 W CHARLESTON BLVD APT 1041, LAS VEGAS, NV 89117-7051
(702) 758-2817
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
57346-AL-O
NV
3747P1801X
Personal Care Attendant
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Other
Enumeration date
08/05/2019
Last updated
04/20/2020
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