Lowella Jean Domenech
Lowella Jean Domenech is an Attendant Care Provider in Venedy, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
132 W Church StVenedy, IL 62214-1254
Phone: (618) 824-6229
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1093383507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2021 |
| Last updated in NPPES | June 12, 2021 |
| Certification date | June 12, 2021 |
| Mailing address | 132 W Church St, Venedy, IL 62214-1254 |