Organization
HAIR FREE BY DOLORES
Active
Organization
HAIR FREE BY DOLORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES HOLLEMAN (OWNER)
(386) 304-3411
Entity
Organization
Contact information
Practice address
3959 S NOVA RD, SUITE 30, PORT ORANGE, FL 32127-9278
(386) 304-3411
(386) 304-8341
Mailing address
3959 S NOVA RD, SUITE 30, PORT ORANGE, FL 32127-9278
(386) 304-3411
(386) 304-8341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM20117
FL
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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