Individual
DOMINIQUE BRIOSHA HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 935-8538
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
820416
CA
367500000X
Certified Registered Nurse Anesthetist
209022358
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
29263
SC
Other
Enumeration date
07/18/2017
Last updated
09/15/2025
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