Individual
DOMINIQUE FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27721 TUNGSTEN RD APT 75, EUCLID, OH 44132-3066
(216) 854-4019
Mailing address
27721 TUNGSTEN RD APT 75, EUCLID, OH 44132-3066
(216) 854-4019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
153063
OH
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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