Individual
RAQUEL MARIE DOMINICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-4516
Mailing address
3600 JAEGER RD APT 1202, LORAIN, OH 44053-5420
(440) 320-6817
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0038086
OH
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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