Individual provider · Type 1 NPI
Dominique King
Driver · Disputanta, VA
NPI number
1235963935
Active
Practice location
11208 Lancaster Dr
Disputanta, VA 23842-4553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1235963935
Dominique King's National Provider Identifier is 1235963935, issued on Aug 27, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Disputanta, VA. The record was last updated on Aug 27, 2024.