Individual
DOMINIQUE L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 OXFORD ST, YOUNGSTOWN, OH 44510-1454
(234) 716-6952
Mailing address
613 OXFORD ST, YOUNGSTOWN, OH 44510-1454
(234) 716-6952
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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