Individual
DOMONIQUE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 E 108TH ST, CLEVELAND, OH 44106-1221
(216) 235-3217
Mailing address
1460 E 108TH ST, CLEVELAND, OH 44106-1221
(216) 235-3217
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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