Chad Jeremy Domangue, NURSE PRACTITIONER
NPI #1588929723 in Morgan City, Louisiana
Provider Information
- NPI Number
- 1588929723
- Entity Type
- Individual
- Name
- Chad Jeremy Domangue, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jul 12, 2012
- Last Updated
- Jan 4, 2016
Practice Location
- Address
- 1125 MARGUERITE ST
- City
- Morgan City
- State
- Louisiana
- ZIP Code
- 70380-1855
- Phone
- (800) 893-9698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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