Individual
DOMONIQUE MICHELLE VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 DETROIT AVE, YOUNGSTOWN, OH 44502-2811
(330) 559-5987
Mailing address
1103 DETROIT AVE, YOUNGSTOWN, OH 44502-2811
(330) 559-5987
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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