Individual provider · Type 1 NPI
Domanique L. Ladd
Driver · Park Forest, IL
NPI number
1437698032
Active
Practice location
87 Fir St
Park Forest, IL 60466-1706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
| Specialist | 174400000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Park Forest
About NPI 1437698032
Domanique L. Ladd's National Provider Identifier is 1437698032, issued on Feb 15, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Park Forest, IL. The record was last updated on Feb 15, 2017.