Vickers, Domonique
Vickers, Domonique is an individual health care provider with primary practice located at 15418 Fire Rock Pl , Ruskin FL 33573-0196. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vickers, Domonique can be contacted via phone (813) 498-9937.Contact Information
Primary practice address
15418 Fire Rock Pl
Ruskin FL 33573-0196
Phone: (813) 498-9937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11005306 | Florida |
Profile Details
| NPI number | 1306419098 |
|---|---|
| LBN Legal business name | Vickers, Domonique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2021 |
| Last updated | Jul 20th, 2021 - about 3 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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