Search › Louisiana › 103TC1900X
Shanette Dominick
NPI 1285148551 · on the registry since 2017 · sole proprietor
Practice
- Address
- 702 Highland View Dr
Youngsville, LA 70592 - Phone
- (337) 452-9795
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 103TC1900X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana