Individual
MS. LISA M OLIVERO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MARJORIE TRL, ORMOND BEACH, FL 32174-8501
(386) 673-7904
(386) 673-7904
Mailing address
2 MARJORIE TRL, ORMOND BEACH, FL 32174-8501
(386) 673-7904
(386) 673-7904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA-31267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2727
BCBS - MASSAGE THERAPY
FL
Enumeration date
09/27/2005
Last updated
07/09/2007
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