Individual
DOMINIC GERALD FAUSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
10200 W RIDGEWOOD DR APT 109, PARMA HEIGHTS, OH 44130-4065
(440) 241-7682
Mailing address
10200 W RIDGEWOOD DR APT 109, PARMA HEIGHTS, OH 44130-4065
(440) 241-7682
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.175348.MEDS-IV
OH
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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