Individual
DOMINIQUE SHARPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
550 NORTH CHAIN HWY, SUITE 899, GLEN BURNIE, MD 21061
(443) 517-6552
(410) 946-1752
Mailing address
550 NORTH CHAIN HWY, SUITE 899, GLEN BURNIE, MD 21061
(443) 517-6552
(410) 946-1752
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP54012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP54012
NURSING LICENSE
MD
Enumeration date
09/09/2021
Last updated
09/09/2021
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