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Dominique Moreno
Family Nurse Practitioner in Summerville, South Carolina
NPI 1346861341

Dominique Moreno is a Family Nurse Practitioner based in Rock Hill, SC and is specialized in Family. Dominique Moreno practices in Summerville, SC. The NPI Number for Dominique Moreno is 1346861341 and holds a License No. 23773 (South Carolina).

The current practice location address for Dominique Moreno is 502 W 5Th North St, Summerville, SC and can be reached out via phone at 737-226-6700.

Location: 502 W 5Th North St, Summerville, SC, 29732-5527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346861341
Provider Name
Dominique Moreno
Credential
Provider Entity Type
Individual
Gender
Female
Address
502 W 5Th North St, Summerville, SC, 29732-5527
Phone Number
737-226-6700
Fax Number
Provider Enumeration Date
04/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
502 W 5Th North St
City
Summerville
State
South Carolina
Zip
29483-6105
Phone Number
737-226-6700
Fax Number
person
Provider Business Mailing Address Details
Address
502 W 5Th North St
City
Summerville
State
South Carolina
Zip
29483-6105
Phone Number
737-226-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
23773 (South Carolina)
Definition
Definition to come...
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