Provider Demographics
NPI:1114700341
Name:BROWN, DOMINICQUE AIYANNAH (CD(DONA))
Entity Type:Individual
Prefix:MISS
First Name:DOMINICQUE
Middle Name:AIYANNAH
Last Name:BROWN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 HOOPER ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-2590
Mailing Address - Country:US
Mailing Address - Phone:609-756-6182
Mailing Address - Fax:
Practice Address - Street 1:232 HOOPER ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-2590
Practice Address - Country:US
Practice Address - Phone:609-756-6182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula