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Marie Dominique
NPI 1962756593 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3260 Jasper Way
Miramar, FL 33025 - Phone
- (954) 338-8117
Registry record
- Primary taxonomy
- 2279C0205X
2279C0205X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida