Individual
DOMONIQUE TAYLOR-TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
21270 NICHOLAS AVE, EUCLID, OH 44123-3029
(216) 785-4768
Mailing address
21270 NICHOLAS AVE, EUCLID, OH 44123-3029
(216) 785-4768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
171462
OH
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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