DOMINIQUE JENNINGS

BELLEVILLE, IL
NPI1922731645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2021031173)
Enumeration Date2022-07-09
Last Update Date2022-07-09
Business Address
DOMINIQUE JENNINGS
412 LONGVIEW DR
BELLEVILLE, IL 62223-4135
Phone number: 618-960-7414
Mailing Address
DOMINIQUE JENNINGS
412 LONGVIEW DR
BELLEVILLE, IL 62223-4135
Phone number: 618-960-7414