Green, Dominique V

Green, Dominique V is an sole proprietor health care provider with primary practice located at 122 E Main St # 324 , Lakeland FL 33801-4655. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Green, Dominique V can be contacted via phone (863) 247-0273.

Contact Information

Primary practice address
122 E Main St # 324 Lakeland FL 33801-4655
Phone: (863) 247-0273
Fax: (863) 291-3767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1396583613
LBN Legal business name Green, Dominique V
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2024
Last updated Jul 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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