Individual
DOMINIQUE LINVAL WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
5822 TETHERWOOD DR, TOLEDO, OH 43613-1614
(248) 229-2673
(313) 528-8167
Mailing address
27230 CARLYSLE ST, INKSTER, MI 48141-2556
(248) 229-2673
(313) 528-8167
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
322280290117
OH
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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