DOMINIQUE MORENO

SUMMERVILLE, SC
NPI1346861341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  23773)
Enumeration Date2020-04-30
Last Update Date2020-12-01
Business Address
DOMINIQUE MORENO
502 W 5TH NORTH ST
SUMMERVILLE, SC 29483-6105
Phone number: 737-226-6700
Mailing Address
DOMINIQUE MORENO
3066 TALLGRASS BLF
ROCK HILL, SC 29732-5527
Phone number: