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NPI Code Detail

MEDICARE: SHOMINIQUE HAM

MEDICARE: SHOMINIQUE HAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide602305510225OH

General Provider Information

NPI Number : 1386506285
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOMINIQUE HAM
Provider Business Mailing Address
First Line : 755 CLEMENTE TRCE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-8580
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 755 CLEMENTE TRCE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-8580
Country : US
Telephone Number : 419-345-1432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2025
Last Update Date : 12/09/2025

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Directions to “ SHOMINIQUE HAM ” Practice Location

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