Individual
COLLEEN MARIE DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18603 W ACACIA DR, GOODYEAR, AZ 85338-7891
(201) 697-7907
Mailing address
18603 W ACACIA DR, GOODYEAR, AZ 85338-7891
(201) 697-7907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-16494
AZ
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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