Individual
JAIMIE MARIE DOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 TERRY RD, SMITHTOWN, NY 11787-3811
(631) 979-7400
(631) 979-7440
Mailing address
10 FRAN LN, SELDEN, NY 11784-2614
(631) 846-3244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
12/05/2025
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