Individual
DOMINIQUE BETHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1073 AVONDALE RD, SOUTH EUCLID, OH 44121-2922
(216) 598-4335
Mailing address
1073 AVONDALE RD, SOUTH EUCLID, OH 44121-2922
(216) 598-4335
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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