Individual
DOMINIQUE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
402 GOLFVIEW LN, HIGHLAND HEIGHTS, OH 44143-4414
(440) 443-0900
Mailing address
3548 FENLEY RD, CLEVELAND HEIGHTS, OH 44121-1346
(216) 501-8997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.165940
OH
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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