Individual
FERNANDO OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4573 HALBERT AVE, LAS VEGAS, NV 89110-5424
(702) 612-5257
Mailing address
4573 HALBERT AVE, LAS VEGAS, NV 89110-5424
(702) 612-5257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/23/2016
Last updated
03/24/2016
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