Individual
MRS. SANDRA JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2220 W SURREY AVE, PHOENIX, AZ 85029-1533
(602) 820-2011
Mailing address
2220 W SURREY AVE, PHOENIX, AZ 85029-1533
(602) 820-2011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-04975P
AZ
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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