Individual
DOMINGA CLORIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3627 NORTHWOODS DR, KISSIMMEE, FL 34746-2856
(407) 705-3185
Mailing address
3627 NORTHWOODS DR, KISSIMMEE, FL 34746-2856
(407) 705-3185
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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