MS. Domanique L Ladd

NPI #1437698032 in Park Forest, Illinois

Provider Information

NPI Number: 1437698032
Entity Type: Individual
Name: MS. Domanique L Ladd
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Feb 15, 2017
Last Updated: Feb 15, 2017

Practice Location

Address: 87 FIR ST
City: Park Forest
State: Illinois
ZIP Code: 60466-1706
Phone: (708) 830-5320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary
Specialist	174400000X

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