Individual
DOMINIQUE NASHAY DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8400 BUSTLETON AVE STE 11, PHILADELPHIA, PA 19152-1918
(610) 601-4591
(610) 471-0770
Mailing address
8400 BUSTLETON AVE STE 11, PHILADELPHIA, PA 19152-1918
(610) 601-4591
(610) 471-0770
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN678538
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035208580001
—
PA
Enumeration date
04/02/2019
Last updated
04/02/2019
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