Individual provider · Type 1 NPI

Dominique Rose Pugliesi, STUDENT, HEALTHCARE

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1386497618 Active

Practice location

1000 E Broad St
Richmond, VA 23219-1930

Call (804) 828-2467 Map

Fax (804) 828-5775

Mailing address

1200 E Broad St # 980257
Richmond, VA 23298-5025

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386497618

Dominique Rose Pugliesi, STUDENT, HEALTHCARE's National Provider Identifier is 1386497618, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on Jun 30, 2026.