DOMINIQUE MOORE

ASHLAND, VA
NPI1063294205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024188517)
Enumeration Date2023-10-20
Last Update Date2026-01-12
Business Address
DOMINIQUE MOORE NP
12300 WASHINGTON HWY
ASHLAND, VA 23005-7646
Phone number: 804-897-9355
Mailing Address
DOMINIQUE MOORE NP
12300 WASHINGTON HWY
ASHLAND, VA 23005-7646
Phone number: