Individual
KINDRA DOMINIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
671 WINYAH DR, ORLANDO, FL 32803-1226
(407) 303-8016
Mailing address
100 MYRTLE ST APT 418, LONGWOOD, FL 32750-5449
(772) 708-1493
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11027128
FL
Other
Enumeration date
09/28/2021
Last updated
12/31/2023
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