Individual
AGGIE DOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
7968 ESSEN PARK, BATON ROUGE, LA 70809-7439
(225) 761-6700
Mailing address
7324 MENLO DR APT 5, BATON ROUGE, LA 70808-5685
(225) 761-6700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1776
LA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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