Healthcare Provider Details

I. General information

NPI: 1326965997
Provider Name (Legal Business Name): TAMEKIA DOLAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31919 N 126TH AVE
PEORIA AZ
85383-5698
US

IV. Provider business mailing address

31919 N 126TH AVE
PEORIA AZ
85383-5698
US

V. Phone/Fax

Practice location:
  • Phone: 623-203-5863
  • Fax:
Mailing address:
  • Phone: 623-203-5863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: