Individual
JAMIE DOMINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 NEAL RD, HUNTINGTON, TX 75949-4514
(936) 422-5073
Mailing address
PO BOX 53, PENNINGTON, TX 75856-0053
(936) 545-7932
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
195623
TX
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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