Dominique, Marie Ketlie

Dominique, Marie Ketlie is an sole proprietor health care provider with primary practice located at 3260 Jasper Way , Miramar FL 33025-4246. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care, which is considered as her primary health care specialty. Dominique, Marie Ketlie can be contacted via phone (954) 338-8117.

Contact Information

Primary practice address
3260 Jasper Way Miramar FL 33025-4246
Phone: (954) 338-8117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care 2279C0205X RT9200 Florida

Profile Details

NPI number 1962756593
LBN Legal business name Dominique, Marie Ketlie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2012
Last updated Nov 5th, 2012 - about 12 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.

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