Individual
DOMONIQUE LARAY MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1879 FORD AVE, AKRON, OH 44305-4342
(330) 352-6568
Mailing address
1879 FORD AVE, AKRON, OH 44305-4342
(330) 352-6568
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402262660520
OH
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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