Individual
KAJANDRE DOMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18121 PINE RIDGE DR, PRAIRIEVILLE, LA 70769-3455
(225) 715-9871
Mailing address
18121 PINE RIDGE DR, PRAIRIEVILLE, LA 70769-3455
(225) 715-9871
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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