Individual
KRISTIN DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
14134 NEPHRON LN, HUDSON, FL 34667-8554
(727) 863-5418
Mailing address
15072 CARAVAN AVE, ODESSA, FL 33556-4376
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
ND6160
FL
Other
Enumeration date
11/12/2021
Last updated
07/06/2023
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