DOMINIQUE LYNN BASTIN

LAKE CHARLES, LA
NPI1396395901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
DOMINIQUE LYNN BASTIN
1824 8TH ST
LAKE CHARLES, LA 70601-6512
Phone number: 719-822-3103
Mailing Address
DOMINIQUE LYNN BASTIN
1824 8TH ST
LAKE CHARLES, LA 70601-6512
Phone number: 719-822-3103