Individual
DOMINIQUE S BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 E 74TH ST, CLEVELAND, OH 44103-1918
(216) 224-2021
Mailing address
1119 E 74TH ST, CLEVELAND, OH 44103-1918
(216) 224-2021
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
04/02/2025
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