Individual
KASHA DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7850 ANSELMO LN, BATON ROUGE, LA 70810-1101
(225) 768-6419
Mailing address
1767 HOBBITON RD, BATON ROUGE, LA 70810-3421
(225) 747-0047
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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