Individual
MRS. JENELL ANTOINETTE DOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(928) 763-8700
Mailing address
1254 VERANO DR, BULLHEAD CITY, AZ 86442-6926
(928) 234-2273
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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