Individual
DOMINIQUE BRINKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2005 SYLVIA ST, NORTH CHARLESTON, SC 29406-6124
(215) 501-6317
Mailing address
2005 SYLVIA ST, NORTH CHARLESTON, SC 29406-6124
(215) 501-6317
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
167888
SC
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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