Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Gabrielle Vickers

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144064239

Dominique Gabrielle Vickers is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

1 Kneeland St
Boston, MA 02111-1527
Phone: (617) 636-6828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 511 E 3rd St Ste 260, Bethlehem, PA 18015-2072 — (484) 526-2460

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1144064239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address1 Kneeland St, Boston, MA 02111-1527

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