Individual
ERIENNE BELKIS DASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 W WARREN AVE, LONGWOOD, FL 32750-4036
(407) 214-9019
Mailing address
651 W WARREN AVE, LONGWOOD, FL 32750-4036
(407) 214-9019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5185159
FL
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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