DOMINIQUE J BROWN

JACKSON, TN
NPI1588185714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  0000001877)
Enumeration Date2017-06-28
Last Update Date2017-06-28
Business Address
DOMINIQUE J BROWN MS, LAT, ATC
545 LANE AVE
JACKSON, TN 38301-4501
Phone number: 731-425-7668
Mailing Address
DOMINIQUE J BROWN MS, LAT, ATC
213 TRACE DR
JACKSON, TN 38305-1580
Phone number: