DOMONIQUE SHANTEL WILSON

EAST LIVERPOOL, OH
NPI1124893151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  APRNCNP0035421)
Enumeration Date2023-11-20
Last Update Date2023-11-20
Business Address
DOMONIQUE SHANTEL WILSON PMHNP-BC
15613 PINEVIEW DR STE C
EAST LIVERPOOL, OH 43920-9096
Phone number: 330-932-1594
Mailing Address
DOMONIQUE SHANTEL WILSON PMHNP-BC
1132 PENNSBURY BLVD
PITTSBURGH, PA 15205-1610
Phone number: 412-251-6004
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