JUSTIN DOMURAT

GREENBELT, MD
NPI1871251090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA  61214691)
Enumeration Date2021-12-05
Last Update Date2021-12-05
Business Address
JUSTIN DOMURAT NP
7401 GREENBELT RD
GREENBELT, MD 20770-3402
Phone number: 301-982-5437
Mailing Address
JUSTIN DOMURAT NP
1 HOLLOW LN STE 301
NEW HYDE PARK, NY 11042-1215
Phone number: 516-869-0650