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Mrs. Dominique Bouldin
Driver in White Plains, Maryland
NPI 1023590452

Dominique Bouldin is a Driver based in La Plata, MD. Dominique Bouldin practices in White Plains, MD. The NPI Number for Dominique Bouldin is 1023590452 and holds a License No. (Maryland).

The current practice location address for Dominique Bouldin is 11136 Saint Christopher Drive, White Plains, MD and can be reached out via phone at 240-718-8595.

Location: 11136 Saint Christopher Drive, White Plains, MD, 20646-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023590452
Provider Name
Dominique Bouldin
Credential
Provider Entity Type
Individual
Gender
Female
Address
11136 Saint Christopher Drive, White Plains, MD, 20646-3301
Phone Number
240-718-8595
Fax Number
Provider Enumeration Date
09/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11136 Saint Christopher Drive
City
White Plains
State
Maryland
Zip
20695
Phone Number
240-718-8595
Fax Number
person
Provider Business Mailing Address Details
Address
11136 Saint Christopher Drive
City
White Plains
State
Maryland
Zip
20695
Phone Number
240-718-8595
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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