Individual
BETH ANN KATHERINE DOMINIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6610 KENNETH AVE, PARMA, OH 44129-2933
(216) 534-3220
Mailing address
6610 KENNETH AVE, PARMA, OH 44129-2933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
358105
OH
Other
Enumeration date
01/26/2010
Last updated
06/10/2010
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