Dominique D Shields
NPI #1669706933 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1669706933
- Entity Type
- Individual
- Name
- Dominique D Shields
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Pathology - Phlebotomy
- Enumeration Date
- Sep 19, 2009
- Last Updated
- Sep 19, 2009
Practice Location
- Address
- 1526 S FRONT ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19147-5518
- Phone
- (215) 463-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Phlebotomy — Phlebotomy |
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