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Search › Ohio › Licensed Practical Nurse

Clive Fomenky

NPI 1811284797 · on the registry since 2011 · sole proprietor

Practice

Address
4613 Cutlass Dr
Englewood, OH 45322
Phone
(937) 248-6394
Organisation at this address
Admira Healthcare Services,Llc
Serene Healthcare Services, Llc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio