DOMINIQUE SHELTON

HIALEAH, FL
NPI1740782960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Additional Taxonomies247200000X Technician, Other
Enumeration Date2018-03-03
Last Update Date2020-08-29
Business Address
DOMINIQUE SHELTON
419 W 49TH ST
HIALEAH, FL 33012-3654
Phone number: 855-832-6727
Mailing Address
DOMINIQUE SHELTON
1860 NW 112TH TER
MIAMI, FL 33167-3539
Phone number: 786-908-5003
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