Individual
DOMINIQUE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 HOLIDAY DR, NEW ORLEANS, LA 70131-5122
(504) 342-9312
Mailing address
2700 HOLIDAY DRIVE, NEW ORLEANS, LA 70131
(504) 342-9312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
010395476
LA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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