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Individual
MRS. JOHANNE RICHARD DOMINIQUE
Active
Individual
MRS. JOHANNE RICHARD DOMINIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11005018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105483200
—
FL
Enumeration date
11/17/2019
Last updated
09/23/2022
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