Jefferson, Domonique

Jefferson, Domonique is an sole proprietor health care provider with primary practice located at 13226 Rustic Garden Dr , Houston TX 77083-0104. She recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Jefferson, Domonique can be contacted via phone (832) 288-1931.

Contact Information

Primary practice address
13226 Rustic Garden Dr Houston TX 77083-0104
Phone: (832) 288-1931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1124407127
LBN Legal business name Jefferson, Domonique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2015
Last updated May 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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