Lindsey Renea Domico Valid NPI
Individual provider · Early Intervention Provider Agency · Fairmont, WV
- NPI
- 1952125718
- Type
- Individual (Type 1)
- Primary specialty
- Early Intervention Provider Agency
- Specialty group
- Agencies
- Taxonomy code
- 252Y00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2024-11-08
- Last updated
- 2024-11-08
Practice location
930 Coleman Ave
Fairmont, WV 26554-3531
(304) 365-5403