DOMINIQUE MICHELE WATERBURY

FORT SMITH, AR
NPI1043773922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
(Licence: AR  928984961)
Enumeration Date2019-04-09
Last Update Date2019-04-09
Business Address
DOMINIQUE MICHELE WATERBURY
5400 EUPER LN
FORT SMITH, AR 72903-3232
Phone number: 479-755-6601
Mailing Address
DOMINIQUE MICHELE WATERBURY
1900 STILLWATER DR
JONESBORO, AR 72404-9119
Phone number: 870-932-3600