Individual
MS. DOMINIQUE JENELLE CLOTHIAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM, LMP
Contact information
Practice address
1142 SAINT CLAIR AVE, CHARLOTTESVILLE, VA 22901-4144
(434) 996-5095
(866) 522-3846
Mailing address
1142 SAINT CLAIR AVE, CHARLOTTESVILLE, VA 22901-4144
(434) 996-5095
(866) 522-3846
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000142
VA
225700000X
Massage Therapist
MA00020937
WA
Other
Enumeration date
01/17/2007
Last updated
04/22/2019
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