DOMINIQUE BURRELL

SPEEDWAY, IN
NPI1255537387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27057705A)
Enumeration Date2007-06-25
Last Update Date2007-07-08
Business Address
-- DOMINIQUE BURRELL
2225 WHITE OAKS DR
SPEEDWAY, IN 46224-3914
Phone number: 317-247-9095
Mailing Address
-- DOMINIQUE BURRELL
2225 WHITE OAKS DR
SPEEDWAY, IN 46224-3914
Phone number: