DOMINIQUE V GREEN

LAKELAND, FL
NPI1396583613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Enumeration Date2024-07-19
Last Update Date2024-07-19
Business Address
Mrs. DOMINIQUE V GREEN
122 E MAIN ST # 324
LAKELAND, FL 33801-4655
Phone number: 863-247-0273
Mailing Address
Mrs. DOMINIQUE V GREEN
4530 S ORANGE BLOSSOM TRL
ORLANDO, FL 32839-1704
Phone number: 689-777-2847