DOMINIQUE WISE

HAMMOND, LA
NPI1699267716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-06-04
Last Update Date2018-06-04
Business Address
Ms. DOMINIQUE WISE
12561 WARDLINE RD
HAMMOND, LA 70401-6212
Phone number: 985-551-5155
Mailing Address
Ms. DOMINIQUE WISE
12561 WARDLINE RD
HAMMOND, LA 70401-6212
Phone number:
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