Ashley Dominic, CHW

NPI #1770345191 in Gaylord, Michigan

Provider Information

NPI Number: 1770345191
Entity Type: Individual
Name: Ashley Dominic, CHW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: CHW
Enumeration Date: Jan 30, 2024
Last Updated: Jan 30, 2024

Practice Location

Address: 95 LIVINGSTON BLVD
City: Gaylord
State: Michigan
ZIP Code: 49735-9464
Phone: (231) 675-8457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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