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Individual

DINA KHENTIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, RN, C-EFM, ACE-

Contact information

Practice address
205 GNARLED OAKS DR, PONTE VEDRA BEACH, FL 32082-4205
(704) 258-0603
Mailing address
205 GNARLED OAKS DR, PONTE VEDRA BEACH, FL 32082-4205
(704) 258-0603

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9651696
FL

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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