DOMINIQUE NETTLES

FORT WAYNE, IN
NPI1992521322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27072591A)
Enumeration Date2024-12-02
Last Update Date2024-12-02
Business Address
DOMINIQUE NETTLES LPN
431 DALMAN AVE
FORT WAYNE, IN 46806-4011
Phone number: 260-312-9492
Mailing Address
DOMINIQUE NETTLES LPN
431 DALMAN AVE
FORT WAYNE, IN 46806-4011
Phone number: 260-312-9492