IndividualActive
Dominique Holder
NPI 1215886163 · Driver · Fond Du Lac, WI
Provider details
- NPI number
- 1215886163
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
74 Harvest Dr Apt 7207
Fond Du Lac, WI 54937-2325
Phone: (414) 204-5372
Mailing address
74 Harvest Dr Apt 7207
Fond Du Lac, WI 54937-2325
Registry dates
- Enumerated
- 2026-01-23
- Last updated
- 2026-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.