Individual
DOMINIQUE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2027 W 91ST ST, CLEVELAND, OH 44102-3747
(216) 534-7785
Mailing address
2027 W 91ST ST, CLEVELAND, OH 44102-3747
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN188428
OH
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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