Jefferson, Domonique
Jefferson, Domonique is an sole proprietor health care provider with primary practice located at 13226 Rustic Garden Dr , Houston TX 77083-0104. She recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Jefferson, Domonique can be contacted via phone (832) 288-1931.Contact Information
Primary practice address
13226 Rustic Garden Dr
Houston TX 77083-0104
Phone: (832) 288-1931
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1124407127 |
|---|---|
| LBN Legal business name | Jefferson, Domonique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2015 |
| Last updated | May 22nd, 2015 - about 9 years ago |
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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