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NPI Profile for DOMINIQUE BOULDIN in WHITE PLAINS, MD.
A person employed to operate a motor vehicle as a carrier of persons or property.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Driver |
172A00000X |
| NPI Number | 1023590452 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/01/2018 | |
| Last updated | 06/17/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DOMINIQUE BOULDIN