Dominique Robertson

NPI #1083074280 in Charlestown, Indiana

Provider Information

NPI Number: 1083074280
Entity Type: Individual
Name: Dominique Robertson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Mar 1, 2016
Last Updated: Mar 1, 2016

Practice Location

Address: 7509 CHARLESTOWN PIKE
City: Charlestown
State: Indiana
ZIP Code: 47111-9623
Phone: (812) 256-4578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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