Dominique Michelle Debrown, LPN | |
105 Lyon St Fl 2, Paterson, NJ 07524-1933 | |
(347) 722-4124 | |
Not Available |
Full Name | Dominique Michelle Debrown |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 105 Lyon St Fl 2, Paterson, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518447937 | NPI | - | NPPES |
315847 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 315847 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dominique Michelle Debrown, LPN 105 Lyon St Fl 2, Paterson, NJ 07524-1933 Ph: (347) 722-4124 | Dominique Michelle Debrown, LPN 105 Lyon St Fl 2, Paterson, NJ 07524-1933 Ph: (347) 722-4124 |
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