Doctor Name: | MRS. CHERYL D DOMINGUE |
NPI Number: | 1053403519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN071470 |
Business Practice Address: | 220 S Jefferson St Abbeville, LA - 705105906 |
Business Phone Number: | 3378985813 |
Business Fax Number: | 3378985816 |
Mailing Address: | 102 Clair Dr, KAPLAN |
State: | LA |
Postal Code: | 705485525 |
Phone Number: | 3376431796 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN071470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |