Individual
DOMONIQUE ALTHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 SCHOENERSVILLE RD, BETHLEHEM, PA 18018-1864
(484) 526-7676
Mailing address
735 N NEW ST, BETHLEHEM, PA 18018-3931
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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