Most Relevant Information
Provider Data
| NPI Number: | 1003277393 |
| Provider Name: | DOMONIQUE THOMAS NA |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | NA0010356604 |
Most Important Dates
| Enumeration Date: | 03/14/2016 |
| Last Updated: | 03/14/2016 |
Provider Practice Location
16700 KUYKENDAHL RD APT 1604
HOUSTON
TX
770682223
Practice Location Phone/Fax
| Phone: | 8329312121 |
| Fax: |
Provider Mailing Location
16700 KUYKENDAHL RD APT 1604
HOUSTON
TX
770682223
Provider Mailing Phone/Fax
| Phone: | 8329312121 |
| Fax: |