Dominique Chiante Beverly, CNA Valid NPI

Individual provider · Nurse's Aide · Greenwood, MS

NPI

1497335392

Type

Individual (Type 1)

Primary specialty

Nurse's Aide

Specialty group

Nursing Service Related Providers

Taxonomy code

376K00000X

License number

75626 (MS)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-04-13

Last updated

2022-08-18