KISHA DOMINIQUE

STUART, FL
NPI1427593771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2016-12-22
Last Update Date2016-12-22
Business Address
Ms. KISHA DOMINIQUE
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number: 185-583-2672
Mailing Address
Ms. KISHA DOMINIQUE
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number: