Individual
DOMINIQUE DUJUAN ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
Mailing address
75 FULLER ST, DORCHESTER, MA 02124-3747
(617) 306-6181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2309092
MA
Other
Enumeration date
08/22/2022
Last updated
04/26/2023
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