Boom, Dynisha S

Boom, Dynisha S is an individual health care provider with primary practice located at 2000 N Meridian Rd Apt 265 , Tallahassee FL 32303-4950. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is her primary health care specialty. Boom, Dynisha S can be contacted via phone (850) 519-1294.

Contact Information

Primary practice address
2000 N Meridian Rd Apt 265 Tallahassee FL 32303-4950
Phone: (850) 519-1294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 235416 Florida
Nursing Service Related Providers / Adult Companion 372600000X 235416 Florida

Profile Details

NPI number 1497212781
LBN Legal business name Boom, Dynisha S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2019
Last updated Feb 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers