DOMINIQUE MCMILLON
Licensed Practical Nurse
Active
Individual
NPI: 1710403845
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 043122650 (IL) |
Frequently Asked Questions
NPI 1710403845 is the National Provider Identifier for DOMINIQUE MCMILLON, a Licensed Practical Nurse provider located in Decatur, IL. This NPI was enumerated on August 21, 2017.
DOMINIQUE MCMILLON practices at 151 N MAIN ST, Decatur, IL 62523.
Quick Facts
- NPI
- 1710403845
- Type
- Individual
- Enumerated
- Aug 21, 2017
- Last Updated
- Aug 21, 2017
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