| Sophia Lauren Domineck, | |
|
12501 Hamilton Ave, Highland Park, MI 48203-3243 | |
| (313) 865-1580 | |
| Not Available |
| Full Name | Sophia Lauren Domineck |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 12501 Hamilton Ave, Highland Park, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316703671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704350931 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Lauren Domineck, 12501 Hamilton Ave, Highland Park, MI 48203-3243 Ph: (313) 865-1580 | Sophia Lauren Domineck, 12501 Hamilton Ave, Highland Park, MI 48203-3243 Ph: (313) 865-1580 |
Natalie Maria Maziarz, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12501 Hamilton Ave, Highland Park, MI 48203 Phone: 313-865-1580 | |
Nedrae Nichelle Wilson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12501 Hamilton Ave, Highland Park, MI 48203 Phone: 313-865-1580 | |
Clarice Valdry, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 245 Pitkin St, Highland Park, MI 48203 Phone: 313-865-1500 Fax: 313-867-0706 | |
Maisha Brown, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20185 Andover St, Highland Park, MI 48203 Phone: 313-580-3312 | |
Sonseearay Green, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12501 Hamilton Ave, Highland Park, MI 48203 Phone: 313-865-1580 | |
Ariel Jackson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 32 Brighton St, Highland Park, MI 48203 Phone: 313-670-6009 |