DOMINIQUE MOORE

MIDLOTHIAN, VA
NPI1063294205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024188517)
Enumeration Date2023-10-20
Last Update Date2023-10-20
Business Address
DOMINIQUE MOORE NP
14410 SOMMERVILLE CT STE 101
MIDLOTHIAN, VA 23113-6813
Phone number: 804-897-9355
Mailing Address
DOMINIQUE MOORE NP
PO BOX 2243
CHARLOTTESVILLE, VA 22902-2243
Phone number:
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