Individual
MICHAEL A SOLLECITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4815 N 15TH AVE APT 12, PHOENIX, AZ 85015-3616
(321) 369-8928
Mailing address
4815 N 15TH AVE APT 12, PHOENIX, AZ 85015-3616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-27606
AZ
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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