Individual
EMILY CHASTAIN DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8230 SPANISH FORT BLVD, SUITE C, SPANISH FORT, AL 36527
(251) 525-0734
Mailing address
8230 SPANISH FORT BLVD, SUITE C, SPANISH FORT, AL 36527
(512) 250-7343
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1206A
AL
237600000X
Audiologist-Hearing Aid Fitter
Primary
1206A
AL
Other
Enumeration date
07/20/2018
Last updated
05/14/2020
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