Individual
ANGELITO MANDOLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1641 E OSBORN RD STE 6, PHOENIX, AZ 85016-7146
(602) 265-1774
(602) 265-1738
Mailing address
1641 E OSBORN RD STE 6, PHOENIX, AZ 85016-7146
(602) 265-1774
(602) 265-1738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-16283
AZ
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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