Individual
DEANNA DOMINECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 LORD NELSON BLVD, JACKSONVILLE, FL 32218-6755
(904) 469-9766
Mailing address
913 LORD NELSON BLVD, JACKSONVILLE, FL 32218-6755
(904) 469-9766
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
236905
FL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
About Stedi
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