Individual
SHOMINIQUE HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 CLEMENTE TRCE, TOLEDO, OH 43604-8580
(419) 345-1432
Mailing address
755 CLEMENTE TRCE, TOLEDO, OH 43604-8580
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602305510225
OH
Other
Enumeration date
11/29/2025
Last updated
12/09/2025
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