Individual
DOMINQUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2618 W MLK BLVD, FAYETTEVILLE, AR 72701-7698
(479) 521-7755
(479) 521-6965
Mailing address
2618 W MLK BLVD, FAYETTEVILLE, AR 72701-7698
(479) 521-7755
(479) 521-6965
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8756
AR
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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