DOMINIQUE SOPHIA DESTINY SPEAKS

LAKE CITY, SC
NPI1235595141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  19820)
Enumeration Date2016-01-07
Last Update Date2023-01-17
Business Address
DOMINIQUE SOPHIA DESTINY SPEAKS FNP
652 N MATTHEWS RD
LAKE CITY, SC 29560-7008
Phone number: 843-432-3677
Mailing Address
DOMINIQUE SOPHIA DESTINY SPEAKS FNP
360 N IRBY ST
FLORENCE, SC 29501-2808
Phone number: 843-667-9414
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