DOMINIQUE BOLDEN

CHICAGO, IL
NPI1306617345
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
DOMINIQUE BOLDEN
4811 S WABASH AVE APT 2
CHICAGO, IL 60615-2342
Phone number: 708-776-3548
Mailing Address
DOMINIQUE BOLDEN
4811 S WABASH AVE APT 2
CHICAGO, IL 60615-2342
Phone number: 708-776-3548