Individual provider · NPI-1

Dominique J Carn

Technician, Other · West Palm Beach, FL

NPI number1063901247
StatusActive
Last updated in NPPESMay 3, 2018

Details

NPI
1063901247
Entity type
Individual (NPI-1)
Name
Ms. Dominique J Carn
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2018
Last updated
May 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other01422400FLYes

Practice location

42000 Community Dr, Apt 2211
West Palm Beach, FL 33409

Phone 561-891-6209

Mailing address

4200 Community Dr Apt 2211
West Palm Beach, FL 33409-2753

Phone 561-891-6209

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