Individual
DOMINIC VINCENT HUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
688 DICKERSON RD, WILLOWICK, OH 44095-4223
(440) 343-8018
Mailing address
688 DICKERSON RD, WILLOWICK, OH 44095-4223
(440) 343-8018
(440) 585-3104
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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