Mrs. Dominique V Green
Mrs. Dominique V Green is a Homemaker in Lakeland, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
122 E Main St # 324Lakeland, FL 33801-4655
Phone: (863) 247-0273
Fax: (863) 291-3767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1396583613 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 19, 2024 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | January 29, 2021 |
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