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Dominique White
NPI 1285151142 · on the registry since 2017
Practice
- Address
- 1423 Chandellay Dr
Saint Louis, MO 63146 - Phone
- (314) 761-6162
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-08-23
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 Missouri