Individual
MS. DOMINIQUE TENNA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 GUERRA DR, VIOLET, LA 70092-2935
(504) 914-3189
Mailing address
2912 GUERRA DR, VIOLET, LA 70092-2935
(504) 914-3189
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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