MRS. Dominique Bouldin

NPI #1023590452 in White Plains, Maryland

Provider Information

NPI Number: 1023590452
Entity Type: Individual
Name: MRS. Dominique Bouldin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Sep 1, 2018
Last Updated: Jun 17, 2020

Practice Location

Address: 11136 SAINT CHRISTOPHER DRIVE
City: White Plains
State: Maryland
ZIP Code: 20695
Phone: (240) 718-8595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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