Individual
ELIZABETH DOMINIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
6555 15 MILE RD, STERLING HEIGHTS, MI 48312-4511
(586) 842-8036
Mailing address
6555 15 MILE RD, STERLING HEIGHTS, MI 48312-4511
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704168153
MI
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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