Individual
KRIS DURANDISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3591 NW 83RD LN, SUNRISE, FL 33351-6738
(954) 459-5019
Mailing address
3591 NW 83RD LN, SUNRISE, FL 33351-6738
(954) 459-5019
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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