Individual
DOMINIQUE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2584 FULBOURNE DR, CINCINNATI, OH 45231-1864
(513) 728-9222
Mailing address
2584 FULBOURNE DR, CINCINNATI, OH 45231-1864
(513) 728-9222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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