person
Dominique Michele Waterbury
Driver in Fort Smith, Arkansas
NPI 1043773922

Dominique Michele Waterbury is a Driver based in Jonesboro, AR. Dominique Michele Waterbury practices in Fort Smith, AR. The NPI Number for Dominique Michele Waterbury is 1043773922 and holds a License No. 928984961 (Arkansas).

The current practice location address for Dominique Michele Waterbury is 5400 Euper Ln, Fort Smith, AR and can be reached out via phone at 479-755-6601.

Location: 5400 Euper Ln, Fort Smith, AR, 72404-9119
person
Provider Profile Details
NPI Number
1043773922
Provider Name
Dominique Michele Waterbury
Credential
Provider Entity Type
Individual
Gender
Female
Address
5400 Euper Ln, Fort Smith, AR, 72404-9119
Phone Number
479-755-6601
Fax Number
Provider Enumeration Date
04/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5400 Euper Ln
City
State
Zip
72903-3232
Phone Number
479-755-6601
Fax Number
person
Provider Business Mailing Address Details
Address
5400 Euper Ln
City
State
Zip
72903-3232
Phone Number
479-755-6601
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
928984961 (Arkansas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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