Individual
PASSION UNIQUE DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10702 SHAKER BLVD APT 30, CLEVELAND, OH 44104-3761
(216) 482-1548
Mailing address
10702 SHAKER BLVD APT 30, CLEVELAND, OH 44104-3761
(216) 482-1548
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
3651756
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345316
—
OH
Enumeration date
05/21/2019
Last updated
05/21/2019
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