Individual provider · Type 1 NPI

Dominique Spence

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1467249086 Active

Practice location

1201 S Grand Blvd
St. Louis, MO 63104-1016

Call (314) 257-8000 Map

Mailing address

4409 Serenata Pl NW
Albuquerque, NM 87114-5096

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 1467249086

Dominique Spence's National Provider Identifier is 1467249086, issued on Apr 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 6, 2026.