Fontaine, Dominique

Fontaine, Dominique is an individual health care provider with primary practice located at 3681 Baldwin Ave Ste G-102 , Makawao HI 96768-7505. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Holistic, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Fontaine, Dominique can be contacted via phone (808) 707-0925.

Contact Information

Primary practice address
3681 Baldwin Ave Ste G-102 Makawao HI 96768-7505
Phone: (808) 707-0925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X RN9576272 Florida
Physician Assistants & Advanced Practice Nursing Providers / Holistic 364SH1100X RN-114233-0 Hawaii
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN-114233-0 Hawaii

Profile Details

NPI number 1558122473
LBN Legal business name Fontaine, Dominique
Credentials RN, HNB-BC, HWNC-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2024
Last updated Jan 18th, 2024 - about 2 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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