Dominique Mcmillon

NPI #1710403845 in Decatur, Illinois

Provider Information

NPI Number
1710403845
Entity Type
Individual
Name
Dominique Mcmillon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 21, 2017
Last Updated
Aug 21, 2017

Practice Location

Address
151 N MAIN ST
ZIP Code
62523-1206
Phone
(217) 362-6262

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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