Individual
MRS. MARLEE HOPE DOMANGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 LAKELAND DR STE 750, JACKSON, MS 39216-4608
(601) 200-4970
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
01/28/2025
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