IndividualActive
Dominique Waterbury
NPI 1043773922 · Driver · Fort Smith, AR
Provider details
- NPI number
- 1043773922
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 928984961 (AR)
Specialties & taxonomies
Other Service Providers
Practice location
5400 Euper Ln
Fort Smith, AR 72903-3232
Phone: (479) 755-6601
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Stillwater Dr
Jonesboro, AR 72404-9119
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2019-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.