Individual
MS. DEBORAH KAY DOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
NAVAL HOSPITAL 2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-0001
(912) 573-4212
Mailing address
97182 HARBOR CONCOURSE CIR, FERNANDINA BEACH, FL 32034-3873
(910) 526-2333
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
9243
NC
124Q00000X
Dental Hygienist
DH043616
GA
124Q00000X
Dental Hygienist
Primary
DH31087
FL
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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