Individual
DOMINIQUE STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5 LAKESIDE DR, LITTLE ROCK, AR 72204-8405
(501) 271-6224
Mailing address
PO BOX 56773, LITTLE ROCK, AR 72215-6773
(501) 271-6224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT118471
TX
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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