Domonique Vickers

NPI #1306419098 in Ruskin, Florida

Provider Information

NPI Number
1306419098
Entity Type
Individual
Name
Domonique Vickers
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 20, 2021
Last Updated
Jul 20, 2021

Practice Location

Address
15418 FIRE ROCK PL
City
Ruskin
State
Florida
ZIP Code
33573-0196
Phone
(813) 498-9937

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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