DIANNE DOMST

DURHAM, NC
NPI1619144110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A3792)
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
-- DIANNE DOMST
411 S LASALLE ST
DURHAM, NC 27705-3701
Phone number: 191-938-3552
Mailing Address
-- DIANNE DOMST
5200 SUMMIT MANOR LN APT 409
RALEIGH, NC 27613-7067
Phone number:
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