Individual
DOMONIQUE LASHAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4604 CROWDER BLVD, NEW ORLEANS, LA 70127-3266
(504) 881-2284
Mailing address
4604 CROWDER BLVD, NEW ORLEANS, LA 70127-3266
(504) 881-2284
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
01/16/2019
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