Dominique King
NPI #1235963935 in Disputanta, Virginia
Provider Information
- NPI Number
- 1235963935
- Entity Type
- Individual
- Name
- Dominique King
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Driver
- Enumeration Date
- Aug 27, 2024
- Last Updated
- Aug 27, 2024
Practice Location
- Address
- 11208 LANCASTER DR
- City
- Disputanta
- State
- Virginia
- ZIP Code
- 23842-4553
- Phone
- (678) 462-5704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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