Individual
ALLISON SUE DOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13218 BROOKLANE DR, HAGERSTOWN, MD 21742-1435
(301) 733-0331
(301) 733-4038
Mailing address
13218 BROOKLANE DR, HAGERSTOWN, MD 21742-1435
(301) 733-0331
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R100629
MD
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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