Individual
DOMINIQUE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6079 ESTATE PETERS RST, CHRISTIANSTED, VI 00820-5803
(340) 208-0829
Mailing address
6079 ESTATE PETERS RST, CHRISTIANSTED, VI 00820-5803
(340) 208-0829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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