WOODLY DOMINIQUE
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1457081507
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1457081507 is the National Provider Identifier for WOODLY DOMINIQUE, a Student in an Organized Health Care Education/Training Program provider located in Moultrie, GA. This NPI was enumerated on June 13, 2022.
WOODLY DOMINIQUE practices at 2050 TALLOKAS RD, Moultrie, GA 31768.
Quick Facts
- NPI
- 1457081507
- Type
- Individual
- Enumerated
- Jun 13, 2022
- Last Updated
- Jun 13, 2022
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